ENTRY FORM

2ND PETRON SPRINT 4T ENDURO ECONOMY RUN 2011

Name:
______________________________________________________________________________

Address:
_____________________________________________________________________________

Tel./Cell.#;____________________________________
Email:_____________________________

Are you a member of a motorcycle Club? Yes No Name of Club

_____________________

Birthday: _______________________ Age: ____________ Sex: Male Female

T-Shirt Size: _____________ No. of years riding: _______

Please rate your Riding Skills: (A-highest, F- beginner)

A B C D E F

Motorcycle Brand : ____________________ Model : _________________ Displacement :

_________

Class : 100-115cc 116-125cc 126-150cc 151-250cc

251-500cc 501-750cc 751-999cc 1000cc-up

Did you join the First Petron Enduro Economy Run in 2009? Yes No

If yes:

Winner 1 st 2 nd 3rd

Finisher

Not a Finisher. Why?

_____________________________________________________________

We hereby certify that the information stated above is true and correct. We also understand
and agree that the Organizer has the right to deny or disqualify an entry subject to their
disqualification rules.
Furthermore, we certify we are physically fit to participate in the event. We freely and
voluntarily understand and agree with the rules and regulations of the run. We submit to the authority
of the Officials and the Organizers, and will not hold the Organizers and its Sponsors liable in any
way whatsoever.

__________________________________________________________________________
Name of Participant Signature (must tally with Drivers License) Date of Application