Amazing Explore Hunt Challenge

Come Join The Exciting EXPLORE HUNT Around Klang Valley. Get a team of 4
to hunt for mind challenging clues and exotic hidden treasure while unveiling the
task locations!! Hurry Register Early, Limited To First 100 Teams Only . Entries
are treated on 1st come 1st serve basis!!
OPEN CATEGORY
Entry Fee : RM60 / person OR RM240 / car
All proceeds will be channel to Rumah Perlindungan Sosial

Exciting Prizes & Lucky Draws to be won !

1st Prize – RM 2000 worth of hampers + i-Touch
2nd Prize – RM 1500 worth of hampers/ travel vouchers
3rd Prize – RM 1000 worth of hampers/ cash vouchers
4th – 10th Prize – RM 500 worth of hampers

You will receive dri-fit t’shirt, & Goodies Bag,

Light Breakast & Buffet Lunch will be provided
Briefing Date : Monday, June 14, 2010
Venue : 7th Floor, Pan Global EITP Fitness Centre,
Jln Tandang [next to Johnson & Johnson]
Time : 6:30 pm
 ENTRY FORM – OPEN CATEGORY

Amazing Explore Hunt Challenge

All entry forms & payment must be submitted to the Organizing Committee
latest by June 4. Fax / email : 5633 6654 / PHAng9390@gmail.com. For further
information please contact Amelia at 017-3669390 or Krystle at 012-3260598
or Pueh Tian at 013-3915981

P 1 [Name as in IC] : __________________________________

New IC Number : __________________________________

Contact No : __________________________________

E-Mail Address : __________________________________

P 2 [Name as in IC] : __________________________________

New IC Number : __________________________________

Contact No : __________________________________

E-Mail Address : __________________________________

P 3 [Name as in IC] : __________________________________

New IC Number : __________________________________

Contact No : __________________________________

E-Mail Address : __________________________________

P 4 [Name as in IC] : __________________________________

New IC Number : __________________________________

Contact No : __________________________________

E-Mail Address : __________________________________

 INDEMNITY

I hereby certify that I am medically fit and entering this event at my own
risk and will not hold the organizing committee responsible for any injuries
or accidents which may incur before, during and after the event.
I agree to be bound by the Supplementary Regulations issued for this
event. In considerations of the acceptance of this entry or of me being
able to take part in this event. I agree to save harmless and keep
indemnified the Johnson & Johnson, the official, their respective
subsidiaries, officials, servants, representatives and agents from and
against all actions, claims, costs, expenses and demands in respect of death
or bodily injury to myself or damage to property however caused arising out
of or in connection with this entry or by taking part in this event, not
withstanding that the same may have been contributed or occasioned by
the negligence of the said bodies, the officials, servants, representatives
or agents.
NAME SIGNATURE DATE

PARTICIPANT 1

PARTICIPANT 2

PARTICIPANT 3

PARTICIPANT 4

Note : This Indemnity Form Must Be Signed By All Participants

OPEN CATEGORY
Send or drop your forms to:

Attention To : Amelia Ang / Krystle Chee

Email : PHAng9390@gmail.com
HUNT MARSHALS
Fax : 03 – 5633 6654 / 7781 5426

Payment to : Johnson & Johnson Sdn Bhd

Account No : Maybank 5-14187-300215
 DriFit Tshirt Sizes

Size Chest Width Length

Per side
XS 19” 25 ½”
S 20” 26 ½”
M 21” 27 ½”
L 22” 28 ½”
XL 23 ½” 29 ½”
XXL 25” 31”
XXXL 27” 32”

Team Name : ___________________________

XS : ______ L : ______

S : ______ XL : ______

M : ______ XXL : ______

XXXL: ______
The tee shirt sizes is based on 1st come 1st serve.
If you wish to purchase extra tshirt for charity, it is for sale at
RM30 each.