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)
   

(*Registration for events, online registration forms can function properly only on Internet Explorer and Safari*)

© 2008 GO ADVENTURE ASIA : 109 FL.5, CCT BUILDING, SURAWONG ROAD, BANGRAK, BANGKOK 10500 THAILAND  Tel. +66 2 236 2931 up to 2  Fax. +66 2 237 2321