2020 DTP-Trail(龍虎鳳越野)-BeClass報名表格2020-01-04

※ 姓名(Name)

※ 性別

男女

※ EMAIL(務必正確填寫)

※ 生日

※ 行動電話(MP)

※ FaceBook or LINE ID

※ Emergency contact person

※ Emergency contact person telephone number

※ Blood type

A
B
AB
O

※ Select group to register

Kirin (Itra5) 、價格:4,400元

Dragon(Itra4) 、價格:3,700元

Tiger(Itra3) 、價格:2,700元

Phoenix(Itra2) 、價格:1,900元

※ Shuttle bus(Including round-trip fares)

Return from 1/5 18:00

GO(1/4 7:40Miaoli High Speed Railway St,8:00Miaol) 、價格:450元總量:22

GO(1/4 12:40Miaoli High Speed Railway ,13:00Miaol) 、價格:450元總量:22

GO(1/5 07:25Miaoli High Speed Railway Station) 、價格:450元總量:22

※ Eating preference

Vegetarian
Meat

※ 風險告知與切結

I have read the race information/notice and fully understand the risks of the event, and all the personal information provided is correct. I am sure my physical and mental conditions are healthy,no cardiovascular related diseases to participate in the race. I promise to pay attention on my safety and health condition during the activity. When encountering any accident, I am willing to take full responsibility, knowing the organizer is not to blame.

Notes

What do you want to say to the organizer...

團報資料

§ 請點此處填寫團體報名資料

總金額

***元
(依據人數計費：每人元)