RAST2019REGISTRATIONFORM-Jsform

RAST 2019 REGISTRATION FORM

December 15-17 Cherating Beach,Kuantan,Malaysia

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＊Please fill in English.
*FIRST NAME:
*LAST NAME:
*GENDER
MaleFemale
*AGE:
*NATIONALITY:
*PLACE OF RESIDENCE:
*COMPETE DIVISION（Multipal Selection):

Men's ShortboardWomen's ShortboardMen's LongboardWomen's Longboard
SELF-INTRODUCTION:
COMPETITION EXPERIENCE:
*ID/PASSPORT NUMBER:
*E-MAIL:

SOCIAL MEDIA ACCOUNT(INSTAGRAM/FACEBOOK):
*PHONE NUMBER:

*EMERGENCY CONTACT (FULL NAME)
*EMERGENCY CONTACT

ENTRY FEE:
MALE $50 per Division
FEMALE $30 per Division
ONLINE PAYMENT METHOD：
Please transfer through PayPal :
developer@renextop.com
*Please upload an screenshot image as a proof of your payment:
Click upload（Maximum size 200M）
 This feature is not available, please contact the publisher to upgrade his account.Get contact information。
DISCLAIMER:
RAST does not guarantee personal security or provide any insurance services to any participants. We shall not to be liable for any unforeseen property damage or physical injury that occurred during travel or in the game. Please purchase relevant insurance before travel if needed.
＊We will send you a confirmation email after receive your form ,please note to check.
SERVICE E-MAIL:
rast@renextop.com