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Angkor Wat Half Marathon Registration Form

Sunday 3rdDecember 2017

PERSONAL DETAILS :

Frist Name*

Last Name*

Date of Birth*


Age Years

Gender

Nationality

Email Address

Phone Number*

Address*

Emergency Contact *

Phone

T-shirt Size

Race Distance

EVENT INFORMATION :

  1. Sunday 3rd December
  2. Starts from 6am at Angkor Wat
  3. Distances available:
    • 3KM
    • 10KM (+Artificial Limb Race)
    • 21KM (+wheelchair race)
  4. Costs :
    • 21KM Cambodian $15 (age limit 16yo and over)
    • 21KM International $75 (age limit 16yo and over)
    • 10KM Cambodian $12 (age limit 13yo and over)
    • 10KM International $68 (age limit 13yo and over)
    • 3KM Cambodian $5 (no age restrictions)
    • 3KM International $48 (no age restrictions)
    • All wheelchair races are free entry
  5. Registration deadline = Monday 16th October