Registration-C2-8km-A TREK-RUN REGISTRATION OUR TREK-RUN STARTS SATURDAY, 12th DECEMBER, 2020 HURRY UP! LIMITED SLOTS FOR REGISTRATION IS STILL AVAILABLE (Please contact our Event Ambassador for further assistance) The organizer will release the official Trek-Route Map and list of successful applicants by email. PART 1 - REGISTRATION Please enable JavaScript in your browser to complete this form.Verify Your Category - (Please Check To Acknowledge) *Category 2 - 8k Locals & Residents - $41.00 per personIf you're a resident expat, you need to present a Cambodia Visa (at least 6 months validity)Your Name *FirstLastFirst = Given Name | Last = Family NameAbout You *FirstMiddleLastDate of Birth | Gender | AgeYour Nationality, and Passport No or Local ID *FirstLastNationality | Cambodian ID No / Passport ID No.Your Home Address *Home AddressYour Home Address *FirstMiddleLastCity | Country | ZipcodeYour Mobile Number & Email Address *FirstLastCountry Code + Mobile Number | Email AddressYour Mobile Number is connected with: *Facebook Instant MessengerWhatsAppWe Respect Your Privacy. This will be used for coordination before, during, after the Trek-Run onlySelect Your T-shirt SizeSize A - (M-L)Size B - (L-XL)Are you trekking alone or together with a group?Yes, I will Trek AloneI will Trek together with my GroupCONTACT PERSON IN CASE OF EMERGENCY *FirstLastFirst = Given Name | Last = Family NameContact Details In case of Emergency *FirstLastCountry Code + Mobile Number | Email AddressYour Relationship with this Person *MODE OF PAYMENT - (Please Check To Acknowledge) *I have successfully deposited the full amount via online bankingI deposited at Account Name: Green G8 Co Ltd | Accnt No: 001175947 | ABA Bank Siem ReapI scanned a copy of my Deposit slip (as proof of payment)Account Name: Green G8 Co Ltd | Account No: 001175947 | ABA Bank (Advanced Bank of Asia Limited) Siem Reap BranchPAYMENT CANCELLATION POLICY (Please Check To Acknowledge) *No Cancellation accepted for Successful Early Bird Applicants (Early Bird: 1 July 2020 to 15 July 2020)50% of Registration Fee amount will be refunded if Event is cancelled before 31 July 2020No Registration Fee will not be refundedif Event is cancelled on or after 31 July 2020.Terms & Conditions (Please Check & To Make Sure You Understand Your Registration Form) *All Trek-Runners are required to sign a WAIVER prior to Trek Race (applied to 18K and 8k categories)Scan all documents, attach, & email together with your registration form.I will bring all original copy of scanned documents during Registration Day (1 Day before the Event)Full Payment is required to accept & confirm my Registration ApplicationRAIN OR SHINE, OUR EVENT IS A YES GOI fully acknowledge that my Registration application is Subject to availabilitySIMPLE WAIVER CLAUSE *Please Check To AcknowledgeI know that participating in a Trek-Run event is a potentially hazardous activity. I should not enter and Trek-Run unless I am medically able and properly trained. I agree to abide by any decision of Trek-Run officials relative to my ability to safely complete the event. I assume all risks associated with participating in this sporting-event including, but not limited to, falls, contact with other participants, animals, the effects of weather, all risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of accepting my entry, I, for myself, my heirs, executors, administrators, and anyone entitled to act on my behalf waive and release the Kulen Mountain Trek-Run, their employees, event officials, volunteers, and all event sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participating even though said liability may arise out of my negligence or carelessness. I grant permission for all of the foregoing to use any photographs, motion pictures, recordings or any other record of this event for any legitimate purpose. ALL ENTRIES CANNOT BE ACCEPTED WITHOUT A SIGNATURE FROM THE APPLICANT! ALL PERSONS REGISTERED ONLINE IS REQUIRED TO SIGN OUR WAIVER ON THE DAY OF REGISTRATION (1 DAY BEFORE THE EVENT). NO REFUNDS WILL BE GIVEN. ALL CHILDREN NEED TO BE ACCOMPANIED BY AN ADULT!For Verification Purposes, please fill up and hit send *I acknowledge that all information in this application form are correct and true.Your Email *Your Mobile Number *General Remarks *Please Check To AcknowledgeBefore sending your registration, please allow us to thank you for the interest in joining our event. For verification purposes, one of our Ambassador will call and assist you in completing your Registration Form. Please proof of the deposit transaction at your end. After submission and you don't hear anything from us in the next 24 hours, email us at kulenmountaintrekrun@gmail.comPhoneSend Registration & Book Now! PART 2 - PROCEED TO INVOICE PLEASE READ THIS BEFORE PRESSING THE INVOICE BUTTON. Please make sure that you have completed the filling-up the details of your registration form. After submission of your registration, please click the button to proceed producing your invoice. For group booking-registration, a different type of invoice will be used. Email: events@green-g8.com for more details. Proceed to Invoice