TEAM REGISTRATION FORM (FORM A-1) (To be accomplished by Team Captain and Co-Captain) Team Running Pace* _____________
(Please print all entries clearly)
CATEGORIES Corporate / Call Center (must belong to the same company)
GROUP NAME:
All Men
Team Captain:
Mix (Men & Women)
Address:
Ultra (5 members only) APPLICABLE FEES
Email Address:
Php 13,500 per team for Categories: Corporate / Call Center, All Men, Mix
Phone Number/s:
Php 10,750 per team for Category: Ultra
Co-Captain:
PAID AT CHRIS SPORTS ________________________ BRANCH,
Address:
RECEIPT NUMBER ________________ All paid fees are non-refundable. Substitution of members is allowed. (Rules and deadlines apply)
Email Address:
NAME
MEMBERS ADDRESS
E-MAIL/CONTACT
NAME
RESERVES (To be filled out only for substitution purposes) ADDRESS
E-MAIL/CONTACT
As team captain and c o-captain, we agree to accept and follow the rules and responsibilities set by the organizers of the Epic Relay, to be responsible for our teammates’ well-being for the duration of the event, and act as representatives for the team in meeting called by the organizers. Team Captain’s Signature Over Printed Name * To register, please fax completed form to +632 759.6690. For inquiries, you can call Ms. Kate Ong or Carl Llado at (+632) 845.1324. You can also e-mail kate@eccp.com.
Co-Captain’s Signature Over Printed Name
Visit www.eccp.com for more info.