LIMBC 2013

UCI MTB Marathon Series

&

Langkawi International Mountain Bike Challenge 2013 Registration

 

REGISTRATION THE UCI MTB MARATHON & LIMBC CLOSED

REGISTRATION OF JAMBOREE STILL OPEN

 


Registration

 

Date Jamboree: 28 Sept 2013

LIMBC Race Stage : 30 Sept - 5 Oct 2013

 

LIMBC Event Category* :

Full Name* : Age* :
IC No / Passport* : Nationality* :
DOB* : Gender* :



Contact No* : Email* :
Mailing Address* :

 

 

 

   
     
Team :    

* Non-UCI License Holders add RM20/USD7 for Temporary License for 6-Day Stage Race from MNCF

Purchase (payment temporary license will be on registration)

UCI License Code :    
Contact Person :    
Emergency No :    
Relation :    
Any Medication(s) Have Any Allergies Or Suffer From Any Previous Injury(s) :



Medication Remarks :

 

 

   
     

How do you know about LIMBC :

 
TShirt Size :






   

 

The Participant hereby declares and represents to the Organizer that the participant is 19 yrs or above. As a matter of caution, the Participant ought to:

Have sought medical examination to ensure that the Participant is certified to be medically fit to participate in the Event;

Whereby applicable, have sought to ensure that the Participants insurance policy is not void or voidable as a result of the Participants participation in the event;

Have ensured that the Participants sporting equipments and safety gears have been recently examined by a skilled bicycle mechanic service and certified for use in such an Event; Have taken cognizance of the fact that the trail designated for this Event is extremely challenging and hence requiring a high degree of endurance and skill to surmount.

 

I HEREBY DECLARE that I have fully read and fully understood the RULES & REGULATIONS of LIMBC 2013 and I participate in the Event at my own accord without any duress and I hereby confirm my unconditional acceptance of the terms and conditions of participation and hereby waive any right of claim against the Organizer, their members, employees, agents or such other parties involved whether directly or indirectly in the preparation, organization and / or the management of HUMAN VOYAGE (M) SDN. BHD. I further give permission for the free use of my name, voices or pictures (still or moving) to be used in any broadcast, telecast, advertising, promotion or any other form of advertising of this and future events.

 

I Agree