Registration Form - 4kM perhentian OWS challenge

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PD 10km Marathon
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main
PD 10km Marathon
Clinic/Training Schedule
clinic/Training Registration
Perhentian Island
Sponsors
Shop
Results & Album
Swimmers Ranking
About us

Registration Form - 4kM perhentian OWS challenge

Please Click on the Icon to read the waiver statement of liability

I agree to wear a swimming float in this event - (compulsory).

Name ( as per IC/Passport)

IC/Passport no

Your Nationality if other than Malaysian

Age

+ -

Gender

Male

Female

For participant below 18 years old

Legal Guardian/Parents Name

Legal Guardian/Parents IC/passport no

Contact no

Email Address

Emergency contact name

Emergency contact no / relationship

Your OWS experience for the past 12 months

Never

once

twice

thrice or more

Your OWS skill level

Beginner

Intermediate

Advance

Your Fitness level

Excellent

Good

Fair

Poor

Do you have any medical conditions or allergies?

Yes

If Yes, please explain

T-shirt Size

Size XS

Size S

Size M

Size L

Size XL

Size XXL

Size XXXL

Addtional Note from swimmer

boat transfer & Parking are not included. But would you like to arrange for you? Boat xfer fee is rm60 (normal fee is rm70), parking is rm10 per day

yes

I agree to the Terms and Conditions and waiver of liability herein

By clicking SEND, you agree to our Terms and Conditions and waiver of liability

The Privacy Policy applies.

Note: Please fill out the fields marked with an asterisk.

Please click here to read the waiver of liability

Important: Your registration is not considered complete without a monetary transfer rm100 deposit (non refundable) and the balance to be paid by 31st July. The total entry fee is rm260 . Once transferred, please email to us with payment detail. i.e. Name, transaction receipt.

Bank: Maybank

Acct no: 5624 7814 6009

Acnt holder: Swimon enterprise ((MA0189318-X)

Email: info@malaysiaopenwaterswimming.com

For international participants please contact info@malaysiaopenwaterswimming.com to arrange payment method.

For inquiries on the Term and Conditions, Waiver of Liability, and Privacy Policy, and our Intellectual Property Rights, Please contact:

Email Address: office@songpartners.com.my