Bangladesh MTB Championship 2023 Your name* Contact No.* Emergency Contact No.* Your email* Date of Birth* Gender*MaleFemaleOthers Blood Group*—Please choose an option—O+O-A+A-B+B-AB+AB- NId/Birth Certificate/ Passport* NIdBirth CertificatePassport Address* Nationality* T-shirt Size Chart XS (Chest-18,Length-25) S (Chest-19,Length-26) M (Chest-20,Length-27) L (Chest-21,Length-28) XL (Chest-22,Length-29) 2XL (Chest-23,Length-30) 3XL (Chest-24,Length-31) Select T-Shirt Size* —Please choose an option—XSSMLXL2XL3XL(T-Shirt Size can not be changed once confirmed) Bkash Send Money Number: 016 1258 2444 (Please don't call this number.) Send Money Amount* 1800 Tk Your Bkash Number* Trx ID* Event Disclaimer 1. I understand and acknowledge participating in the "Bangladesh MTB Championship 2023". 2. I certify that I am physically fit and that I have sufficiently trained for participation in the Event. 3. In consideration of being allowed to participate in the Event, I (on my own behalf and on behalf of my executors, administrators, heirs, next of kin, successors and assigns): 3(a). WAIVE, RELEASE AND DISCHARGE from any and all liability for death, disability, personal injury, property damage, property theft, and all other risks, claims, or actions of any kind (including breach of contract, acts of negligence to the fullest extent permitted by law) whatsoever and however occurring, together with any legal fees incurred as a result of any such claim whether it is valid or not, which I at any time had or have as a result of or in connection with, directly or indirectly, my participation in and my traveling to and from the Event the following person or entities: Bangladesh MTB Championship 2023. 3(b). INDEMNIFY AND HOLD HARMLESS the persons or entities mentioned in paragraph 3(a) from any and all liabilities, claims, or actions (including negligence) whatever or however caused arising as a result of or in connection with, directly or indirectly, my participation in and traveling to and from the Event, including any claim by my (or my team’s) support crew or any person assisting me or my team; 4. I acknowledge that I am responsible for my personal possessions and equipment during the Event. 5. I accept the communications, search, rescue, and medical aid arrangements put in place by the organizers. I understand and agree that in the first instance I am responsible for the provision of first aid to myself and those around me. 6. I certify that the medical information supplied by me on the entry form is true and I consent to and authorize that information to be provided to any medical practitioner, ambulance officer, or any person involved or associated with any medical treatment or assistance that may be given to me as a result of my participation in the Event, regardless of whether the treatment is given. 7. I agree to allow my photograph, video, multimedia, or film likeness and or name to be used for any legitimate purpose by Run Bangladesh., its sponsors or assigns without payment or compensation. 8. If conditions warrant the cancellation or postponement of the Event, no refunds will be issued. 09. I agree to abide by the Event rules and directions of officials and I understand that my entry may be voided if through my actions or behavior, in the opinion of the organizers, I break any of the rules or I bring the Event into disrepute. I further understand that the organizers reserve the right to reject any entry without having to justify their actions. I agree to the terms and conditions Before proceeding to submit, please make sure that all the information is correct. You can't change your information later.