Penang Starwalk 2016

Registration Form

Full Name
I.C / Passport No
(Without the "-")
Address
 
 
Post Code
City
State
Tel No.
Mobile No.
Email
Date of Birth
   
Age
Marital Status
Single Married
Gender
Male Female
Race  
Nationality
Occupation  
Closing Date:
April 14, 2017 (Friday) or 15,000 entries (whichever is earlier)

* Minimum age: 13 years and above.

* T-shirt sizes subject to availability on first-come-first-serve basis.

Entry Fee : RM 13 (inclusive of GST)


  The Organisers, Ipoh Starwalk 2017
I agree to abide by the conditions and rules of the Walk as stated in the Advance Walker's Guide. I declare that the details given are correct and I am physically fit and sufficiently trained to finish the Walk. I will attempt to complete the Walk within the time limit.

WALKERS: WAIVER/INDEMNITY:

In consideration of the Organiser accepting this entry, I upon entry and registration to participate in the above Ipoh Starwalk, hereby by myself, my heirs, executors and administrators, waive and release any and all rights or claims to damages I may have against the Organisers holding this Ipoh Starwalk, their agents, representatives, successors, assignees, sponsors and co-sponsors for any and all injuries, death and invalidity I may sustain during the course of the event or arising as a result of it.

I hereby indemnify you and keep you indemnified and waived against all claims or damage that arise in the consequence of the above.

FOR PARTICIPANTS UNDER 18 YEARS OF AGE

I parent/guardian of the participant, whose particulars appear above, confirm, that I fully understand and appreciate the effect of the above waiver and hereby agree and declare on behalf of the participant that the purport of the Waiver Clause will have equal binding effect on the participant.

I hereby consent to his/her participation in the above Ipoh Starwalk.
 
Name I/C No
Contact No

In view of the implementation of the Personal Data Protection Act 2010, by participating in Ipoh Starwalk, I hereby expressly grant the Star Media Group Berhad, its affiliates and partners and/or advertisers the consent to collect, process and use my personal information including (but not limited to) names, contact information and/or photographs (collectively, “Personal Data”) for future advertising and publicity purposes in any media without additional compensation, notification or permission.

I hereby agree to allow Star Media Group Berhad to collect my personal information to be regulated and managed by Star Media Group Berhad, and I further agree for Star Media Group Berhad to share my personal information with promoters, partners, and sponsors for this event.

If you wish to correct the Personal Data or to withdraw your consent, please email to northevents@thestar.com.my.

Payment via credit/debit card (Master/Visa) only. Click submit to proceed.
To avoid duplicate payment, please wait at least 24 hour before resubmitting.
 
Ipoh Starwalk Logo