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2019 R.A.C.E.

to SERVE Fun Run Registrant’s Copy


Civil Service at 119: Upholding Integrity
Civil Service at 119: Upholding Integrity and a High-Trust Society and a High-Trust Society
1 September 2019-Quirino Grandstand, Manila 1 September 2019—Quirino Grandstand, Manila
(DATE OF REGISTRATION)
ASSEMBLY TIME : 4 a.m.
(DATE OF REGISTRATION) LIABILITY WAIVER AND RACE AGREEMENT:
RACE CATEGORY GUN START DD MM YY
I attest to being fully trained and physically/
DD MM YY mentally fit to participate in the event and have full 10K RUN 5 a.m. RACE CATEGORY
knowledge of the risks involved. I give permission for 5K RUN 5:05 a.m.
RACE CATEGORY the free use of name/s, photos and/or voice in any,
BIB NO.
(TO BE FILLED OUT BY CSC COLLECTING OFFICER)
broadcast, telecast, digital, print material or any other
material any medium of this event.
3K RUN 5:15 a.m. 3K 5K 10K
3K 5K 10K RULES AND REGULATIONS
In consideration of being permitted to 1. Participants must be Filipino Citizens.
participate, I for myself, my heirs, executor, and 2. Participants must be 18 years old and above.
administrator do hereby waive and release forever any 3. Previous winners of R.A.C.E. to Serve Fun Run are
FIRST NAME M.I. and all rights to claims/damages I may have against the disqualified from competing for the prize.
event organizers, sponsors, volunteers, race officials, 4. Participants must be at the starting line ten (10)
LAST NAME and all parties involved with this event. minutes before the gun start.
Finally, I have carefully read and understood 5. Race bib must be worn at all times during the race.
this entry form and agree to abide by all the rules and 6. Race number is non-transferable.
directives of all race officials before, during and after 7. Participants are prohibited from changing their race
DATE OF BIRTH AGE MALE FEMALE category once registered.
the race.
MM DD YY 8. The organizer’s decision is final.
9. Baggage area is provided, however, bringing of
baggage is DISCOURAGED, as we are not liable for its
HOME ADDRESS: Participant’s Signature over Printed Name loss. Area is open from 4:30 am to 7:00 am ONLY.
Any unclaimed baggage after 7:00 am will be
EMAIL ADDRESS: collected by participant at CSC NCR.
Date
AGENCY/COMPANY: REGISTRATION is accepted at:
 Any CSC NCR Field Office
O.R. No. :  Public Assistance and Liaison Division (PALD)
CONTACT NUMBER CSC Collecting Office/FO: Civil Service Commission National Capital Region
(CSC NCR)
25 Kaliraya Street, Doña Josefa, Quezon City
IN CASE OF EMERGENCY, PLEASE NOTIFY: Telephone: 7408412 local 201
Name:
Address: IMPORTANT! WATER AND FIRST AID STATIONS
 Drinking water will be provided at designated water
Contact Number: stations.
EVENT TAKES PLACE RAIN OR SHINE  Medical aid will be available at certain points along
Registration Fees:
 3k— 450.00  Registration Fee is non-refundable the race route and at the finish line.
 5k— 500.00
 10k— 550.00  Race BIB numbers are non-transferable Because we love Mother Earth,
please bring your own water container
 Change of category after registration is not allowed during the run.
Registration Period : 17 June 2019 to 31 July 2019 BIB NO.
Area of Coverage : National Capital Region  No multiple registration TOILET AREA
(TO BE FILLED OUT BY CSC COLLECTING OFFICER)

Validity Period : Until 1 September 2019  Portalets will be provided during the
RUN FOR THE LINGKOD BAYAN! race.

Proceeds from the FUN RUN go to the Pamanang Lingkod Bayani (PLBi) program, which honors civil servants who died in the line of duty. Name of Runner: ___________________________________
The CSC recognizes their selfless acts of heroism though a posthumous awarding ceremony, provision of a one-time financial assistance for the loved ones left
Agency/Company: __________________________________
O.R. No: __________________________________________
behind, as well as scholarship opportunities for three (3) members of the immediate families.
CSC Collecting Office/FO: _____________________________

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