Please Select Circuit:

All Circuits: 26 March (Sunday), 8 July (Sat) & 7 Oct 2017 (Sat)

*Name

*I/C Num:

*Age:

*Address

Email

Mobile Phone

Please indicate Category entered: -

A : Boys Under 12 years old
B : Boys Under 15 years old
C : Girls Under 12 years old
D : Girls Under 15 years old
E : Women Open - Above 15 years old
F : Men Open - Above 15 years old

Registration Fees:

Men or Women (Open) Category ------- One Time Payment RM50.00
Boys or Girls under 12 &15 years old Categories ------- One Time Payment RM30.00

*Registration Fees: RWAM Member will enjoy 50% off.

Declaration:

I hereby declare that I am medically fit and I am entering this event at my own risk and will not hold the organizing committee responsible for any injuries for accidents which may incur before, during and after the event.
I declare that my correctly calculated against the date of birth stated in my identity card/Passport.
I have read and agree to abide by the Rules & Regulations of the Junior Development Program (JDP) 2017
I will make payment to Race Walker'™s Association of Malaysia Bank A/C: Maybank 514 011 717 390, Three (3) days before the event by cash deposit or online transfer

*Men Open category maximum completion time should not exceed 60min