Indonesia Gravity #1- Registration Form
21/22 April 2018

* Required question  
First Name *
Last Name
Gender
Date of birth *
T-Shirt Size*
Identification Number *

KTP SIM (Indonesian ID)
PASSPORT (International ID)

Email Address *
Personal Phone Number *
Emergency Contact Person No *
Emergency Person Name *
Relationship with Emergency name*
Blood Type * O
A
B
AB
Rh+
Rh-
Category *

Team Name
Sponsor
Race History
Race Event *
Disclaimer Participants should be aware that mountain biking is an inherently dangerous activity. Each participant is responsible for his/her own safety. By submitting this form, participants agree that race officials cannot be sued for any injury or loss of life that may happen during the race. It is the right of the race officials to cancel the race in case of uncontrollable events such as natural disaster, riot, war, etc. RIDE SAFE.

Yes, I agree
*