CANCER WARRIORS RUN 2018 REGISTRATION FORM

NAME

BIRTHDAY
AGE
GENDER
LANDLINE
MOBILE
EMAIL

SELECT RACE DISTANCE & DISTANCE FEE

TEAM
SINGLET SIZE

EMERGENCY CONTACT / GUARDIAN

NAME
PHONE
RELATIONSHIP
ADDRESS

You just need to buy at least one product from your chosen team. However, the rest of your purchase must still be on the list of participating products.


Upload receipt for Proof of Purchase

Proof of Purchase
Receipt must have the participating brands/products below. For more information, please read our FAQs page.

WAIVER OF LIABILITY

By signing this registration form and participating in the CANCER WARRIORS RUN 2018, I agree to abide by the rules of the event and certify that I am fully and physically fit and adequately trained to finish the race and that I fully accept this Waiver of Liability. I understand that participating in this event may involve real risk of serious injury or even death from various causes, including but not limited to falls, over exertion, dehydration, contact with other participants, spectators, road users, effect of weather and conditions of the road. I voluntarily assume all risk associated with my participation in the event or any activity associated with it.

I, in consideration of and as a condition of the acceptance of this registration for myself, my executor, administrators, heirs, next of kin hereby waive, release and forever discharge the event organizers, sponsors, promoters, agents, or servants from all claims, actions or damages that I may have against them howsoever cause, arising out of or in any way connected with my participation in this event.

I agree that any personal information provided in the registration form will be used for Rose Pharmacy's promotional, marketing and market research product development unless such is prevented by me by opting-out anytime by calling the office of the Data Privacy Officer at 230-5000 loc. 5061. Rose Pharmacy shall retain the personal information for one (1) year after the conclusion of the event and will accommodate any correction, update or removal of such records within the said period. At the end of the one (1) year period, the personal information shall be destroyed and permanently deleted.

If you wish to access to and/or to update your personal data, or withdraw your consent to our use or disclosure of your Personal Data, you may send your request in writing to the following address:

Data Protection Officer
Rose Pharmacy, Incorporated
3rd Floor, FLC Center,
888 Hernan Cortes St.,
Brgy. Subangdaku, Mandaue City
Email:mariacristina.gabutina@rosepharmacy.com

I hereby accept the WAIVER OF LIABILITY stated above