JB Ultimate Strongman 2021
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Date: 25 December 2021
Location: Redline Gym, Johor Bahru
Fee: RM70.00

Routines:
Log press
Farmers walk
Yoke walk
Tyre flip
Sled push & pull arm to arm

* Weight in and Registration 8.30am 25th December 2021 (Saturday)
* Any changes up to organizer.
Full Name *
IC Number *
Mobile Number *
Date of Birth *
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Address *
Weight (kg) *
Height (cm) *
Represent Any Team? If yes, please state your team name.Your answer
T-shirt Size *
Any medical history / injuries? *
If 'yes', please eloborate *
Emergency contact name & phone number *
I authorize the Organizers, where it is impractical to communicate with me or my Emergency Contact, to arrange for me to receive such medical or surgical treatment as determined by the paramedical or medical officers on-site or on duty during any event or activity. I further authorize the use of Ambulance and/or anesthetic by a qualified medical practitioner if in his/her judgement if it is necessary. I accept responsibility for payment of all expenses associated with such treatment. I appreciate that every care will be taken by the Organizers and those connected with the Organizers cannot be held responsible for personal injury, loss or theft of property affecting me. *
Required
I consent to be photographed and/or filmed/video recorded. I understand that the image may be displayed in the Organizers publications, facility or website. We understand that as a precaution my name will not be published or linked with photographs without prior permission from us; and that the Organizers will ensure appropriate non-disclosure of information. *
Required
The Organizers, and Johor Strongestman Association and all of it's sponsors and partners cannot be held liable for any incidental or consequential damage, loss, medical incident or death. This limitation of liability exists regardless of whether any claim made against the Organizers arises in tort or in contract, including any claims based on negligence and cannot be modified or extended except by an explicit written agreement from the Organisers.
I agree to abide by all competition SOPs set by the Ministry of Health Malaysia.
I have read and agreed to the terms and conditions, and to abide by all rules and regulations set out by the Organizers. I will proceed with registration.
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