ENTRY FORM

Personal Particulars
Full Name
Age
I.C. No.
Date of Birth
Place of Birth
Correspondence Address

Tel. No.

Fax No.

E-Mail

Events ( Please X )
Cross - Country		Dual Slalom
Junior Open XC ( 18 Below )		Mens Open
Mens Open XC
Veterans Open XC ( 35 and Above )
Womens Open XC

Declaration

I hereby declare will not impose / claim / take any actions from the sponsor / organising committee upon any unfoward accidents / injuries that befalls me before, during or after the competition.