LABUAN JETSPORT CHALLENGE 2005
Labuan International Seasports Complex

16 & 17th April 2005

ENTRY FORM

Roundabout 800cc                                            Roundabout 1200cc       
including 4 stroke 1100cc                                  including 4 stroke 1600cc

MAKE:....................................................         MAKE:...........................................................

MODEL/YEAR :.....................................           MODEL/YEAR:...............................................

CRAFT NO:............................................           CRAFT NO:....................................................

________________________________________________________________________________

RIDERS NAME:......................................................................................................................

I/C OR PASSPORT NO:..........................................................................................................

TEAM:.....................................................................................................................................

ADDRESS:..............................................................................................................................

TEL:.......................................................................  FAX:........................................................

HANDPHONE NO:..................................................................................................................

In Case of Emergency, please contact:......................................................................................

Tel:............................................................... H/P:..................................................................

Blood Type:.............................................................................................................................
_______________________________________________________________________

I, the undersigned hereby declare that I wishes to participate in this event on my own
free will and I am medically and physically fit to take part in this event. I shall abide all
the instructions, rules and safety regulations imposed by the race organizers. The
organizers and sponsors will not be held liable, monetarily or otherwise, to loss of life or property, bodily injuries or damages to equipments incurred before, during and after the event.

Signature of Participant:_____________________________  Date:____________
_______________________________________________________________

Date:...........................................

Closed Course Race :  RM 200.00 ...........      

Dash for Cash         :   RM   50.00  ...........

                    Total  :    RM........................

Receipt No:.....................................................  Received by:..................................................