GO FOR GOLD CRITERIUM SERIES - RACE 4

Email *

Race Type *

CIRCUIT *

CRITERIUM *

INDIVIDUAL TIME TRIAL *

First Name *

Last Name *

Gender *

Year of Birth *

Phone Number *

Address *

Emergency Contact Person *

Emergency Phone Number *

I Agree and consent to the collection and processing of my personal information by Go for Gold in accordance with the Data Privacy Policy provided. I understand that my information will be used for race-related purposes as outlined in the policy. * *

I Agree

I hereby acknowledge that my participation in the aforementioned activity may expose me to certain risks (foreseeable and/or unforeseeable).I knowingly freely and voluntarily assume all risks and hereby release Go for Gold Series from any and all liability arising out of my participation in the event. Further I waive my rights herein to assert any claim(s) for damages arising from potential injuries that may arise out of or in connection of my participation in the above-mentioned event. That I fully understand the terms set forth in this form. *

I Agree

WAIVER FOR MINOR: I am allowing my son/daughter to join the Go for Gold Series 4 in New Clark City Pampanga Philippines on March 7-9 2025. It is understood that my son/daughter will abide by the rules set forth by the Organizer for the safety and welfare of the group. Further I fully agree to waive any responsibility on the part of Organizer in case any untoward incident happens to my son/daughter during the entire duration of the entire event. *

I Agree

NAME OF PARENT/GUARDIAN AND SIGNATURE (FOR MINOR PARTICIPANTS) *

Password *

GO FOR GOLD CRITERIUM SERIES- RACE 3 - Individual Entry

Total: P500

Payment Method (Account Name: Gerald De Guzman) *

Pay via Gcash: 09175118092
Bank Transfer: Unionbank 109653956060

Reference Number *

Proof of Payment *