Online Registration
PARTICIPANT DETAILS AND TIMING CHIP INFORMATION
Choose A Race Category
*
5K (Php600)
10k (Php700)
Couples Relay (Php1,000)
PARTICIPANT 1
First Name
Middle Name
Last Name
Date of Birth:
*
MM/DD/YYYY
Age on date of Race
*
Gender
Height
Weight (lb.)
Team
Singlet Size
Please select...
MALE
FEMALE
Please select...
Small
Medium
Large
X-Large
XX-Large
Nationality
Country of Origin
Company/Organization/School
Job Title
Educational Level
Office Address
Office Number
Home Address
*
Home Number
Mobile Number
*
Email
*
In Case of Emergency
Blood Type:
*
Please select...
A
AB
B
O
Medication Currently Being Taken
Medical Condition or Allergies
Indicate medical conditions that require special Attention
Emergency Contact Person
Relationship
Contact Number
Timing Chip
Choose a Timing Option
*
Please select...
I/we will use my personal MYLAPS ChampionChip Green Chip
Buy a Green Chip with Ankle Strap (P400)
Rent a Timing Chip (P250)
Timing Chip Code
*
PARTICIPANT 2 DETAILS AND TIMING CHIP INFORMATION
Couple's Relay Participant 2
PARTICIPANT 2
First Name
Middle Name
Last Name
Birthday:
*
Age on date of Race
*
Gender
Height
Weight (lb.)
Team
Singlet Size
Please select...
MALE
FEMALE
Please select...
Small
Medium
Large
X-Large
XX-Large
Nationality
Country of Origin
Company/Organization/School
Job Title
Educational Level
Office Address
Office Number
Home Address
*
Home Number
Mobile Number
*
Email
*
In Case of Emergency
Blood Type:
*
Please select...
B
A
AB
O
Medication Currently Being Taken
Medical Condition or Allergies
Indicate medical conditions that require special Attention
Emergency Contact Person
Relationship
Contact Number
Total Fees
Total Fees
Php
Payment option
Please select...
Credit Card Straight Payment
Credit Card Installment w/your Boracay Package
Other
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