Mt Falaza Trail Challenge

Name *

Name

First Name

Last Name

Email Address *

Gender *

Date of birth *

Date of birth

YYYY

Nationality *

Passport number *

Current residence *

Mobile phone *

Emergency contact *

Please provide name, relation and mobile number

Race distance *

Logistics: transport *

Please book your required transport. Each transfer is priced at USD 15.

1) Friday: Vladivostok Aiport - Lesnaya Polyana Hotel

2) Saturday noon: Lesnaya Polyana Hotel - Gribanovka Resort (race venue)

3) Sunday afternoon: Gribanovka Resort - Vladivostok City

4) No transport needed; I will make my own arrangements.

Logistics: Hotel accommodation *

Please indicate if you wish to stay at Lesnaya Polyana Hotel, and/or the Gribanovka Resort. Each is priced at USD 30/night incl. breakfast. We HIGHLY recommend you stay in the resort on Saturday night as it is the race venue. Please note that if on Friday you wish to stay elsewhere in Vladivostok, you need to make your own hotel and transport arrangements to your hotel of choice.

Friday night at Lesnaya Polyana Hotel

Saturday night at Gribanovka Resort

No hotel services required, I will make my own arrangements

Running experience *

Please tell us about your main achievements in trail running

T shirt size

Facebook or website link

http://

Payment *

Please tell us how you would like to pay the registration fee (USD 70). Please note that credit card payments are subject to 3% transaction charges.

Comments

Please use this space to mention anything we should know

Disclaimer

Waiver of liability, risk assumption and indemnity agreement: I hereby acknowledge that I am in good physical condition and that my participation in Mt Falaza Trail Challenge is entirely at my own risk. I am aware of the inherent risks of trail running, including under poor or variable weather conditions and in remote areas. I agree that event organisers and event staff and volunteers cannot be held liable for any death, injury, damage or loss arising from my participation in the event to the extent permitted by law. I acknowledge I have my own appropriate medical and accident insurance to take part in the race.

Yes, I acknowledge

No, I do not understand

Thank you for your registration! Your participation in Mount Falaza Trail Challenge on 16 October 2016 will be confirmed as soon as we receive payment of the registration fee.

Best wishes

Kuai Sports Promotions Ltd, Hong Kong.