Thailandmarathon.org - Info and links to marathons and running events in Thailand

Vertical Marathon
at Banyan Tree Bangkok
28 September 2008
REGISTRATION

To register for participation in the Vertical Marathon at Banyan Tree Bangkok on 28 September 2008, please complete the form below (* indicates required information).

Rates for Registration are as follows:

Entry Type	Now - 22 Sep 08
Individual Entry	THB 350.-
Team Entry	THB 350.-
Charity Entry	THB 1,000.-

Note:

Charity Entry: Chance to win 3-Day/2-Night Accommodation Package at Laguna Phuket International Marathon 2009!
Online Registration is available only until 22 September 2008.
On-Site Registration on28 September 2008. Rates remain unchanged

This includes:

Race registration and running number
Pre-race souvenir pack (number, t-shirt, etc.)
Food after the race
Commemorative finisher's medal
Trophies for winners

Important remarks:

Please make sure that you provide all relevant information
We only accept online payment through VISA, MasterCard or JCB
The entry fee is non-refundable!
Make sure that you have read and understand our terms and conditions

ONLINE REGISTRATION FORM ( Fields marked with * are required )

* PARTICIPATE IN :

YELLOW CHIP CODE :
	Please fill in your yellow chip code if you have one. If not, put dash ( - ) in this field. We will provide you with a chip for the race.
*GIVEN NAME :
*FAMILY NAME :
*NATIONALITY :
*GENDER :
*BIRTH DATE :	- - (DD - MM - YYYY)
*AGE :	(2008 Minus Birth Year)
*E-MAIL :
*T-SHIRT SIZE :
*ADDRESS 1 :
ADDRESS 2 :
SUBURB :
STATE / PROVINCE :
*POSTAL CODE :
*COUNTRY :
PRIVATE PHONE :
*MOBILE :
FACSIMILE :
*OCCUPATION :
*EMERGENCY CONTACT 1 :
EMERGENCY CONTACT 2 :
Estimated Finish Time :	: (hours : minutes)
No. of Marathons completed :
Significant Athletic Accomplishment or Interesting Personal Story :
Do you have any current medical problems or conditions for which a doctor is treating you ? DETAILS :	Yes No
Are you allergic to any medications ? DETAILS :	Yes No
Do you wish the event medical staff to be aware of any specific medical problem ? DETAILS :	Yes No
REMARKS :
I certify that I am medically fit to compete and fully understand that I enter at my own risk, and the organizers will in no way be held responsible for any injury or illness, during or as a result of the event.



(Before you register for the race, please read our Rules & Regulations)