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I, ______________________________
I/C
____________________ in submitting my Entry Form
hereby agree to abide by the rules and regulations
of the Subang Jaya Fun Walk 2004.
In consideration of
the Organisers accepting this entry, I hereby agree
to waive all my rights to any claim for personal
injury, death and all other losses or damages that
may be sustained by me before, during and after the
event.
I further undertake
to indemnify the organisers and keep them
indemnified against any claims that may be brought
in respect of the above by me.
_____________________________________
Date: ___________________
Signature of
Participant /Guardian of
Participants below
18 years old
Name:
____________________________ I/C No:
___________________________
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