OXFAM TOWERRUN 2022 REGISTRATION FORM (INDIVIDUAL)

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International Day for the Eradication of Poverty, Run for a World without Poverty

Please fill in below form for credit card donation or you can choose -other offline donation methods.

Participant's information

Title*

Mr.

Ms.

Miss.

Chinese Name

English Name*

Last Name *

First Name *

ID No.

To avoid donor record duplication

Student ID*

Mobile*

Email*

Please provide a valid email address. Confirmation and donation e-receipt (if applicable) will be sent to this email

Address

Date of Birth*

(Participant must be aged 16 or above on the event date,Runners under 18 years of age must have their guardians agree to the following statement.)

Emergency Contact Person*

Emergency Contact number*

Name on receipt*

Donations are tax-deductible with an official receipt.

AIA staff or not (If not please skip)

Have participated in previous Oxfam TowerRun?*

Please send email to Oxfam ([email protected]) if you are looking for priority starting order.

How did your hear about us?*

Tee Size*

T-shirt sizes are limited and are available on a first-come, first-served basis, while stocks last.

Categories

Please choose a currency*

Hong Kong Dollar

Macau Dollar

Categories (Discount just for local student)

(Elite) Male's Full Race (61 levels) ($350/person)

Quantity

Subtotal: $0

Male's Full Race (61 levels) ($350/person)

Quantity

Subtotal: $0

Male's Half Race (31 levels) ($350/person)

Quantity

Subtotal: $0

(Elite) Female's Full-Race (61 levels) ($350/person)

Quantity

Subtotal: $0

Female's Full-Race (61 levels) ($350/person)

Quantity

Subtotal: $0

Female's Half Race (31 levels) ($350/person)

Quantity

Subtotal: $0

*To register with student discount, please email relevant supporting documents together with the runner’s name to [email protected]

If you are participating in the elite category, please provide the results of previous Oxfam towerrun or other vertical marathon events.

Oxfam TowerRun Waiver Agreement (Individual)*

1. Disclaimer/ Indemnity: I, the undersigned, wish to enter Oxfam TowerRun. I confirm that I am aged 16 or above on the event date (Participants must be 16 years old on the day of the event. Parents or guardians of participants under 18 years old (on the day of the event) must fill in and sign the consent table on the last page of this waiver agreement) and agree that I take part in this event entirely at my own risk and responsibility and that I will not hold the Organizer of this event, any sponsor of this event or any organization or person providing medical, catering, logistical, IT or other support or services for this event (or any director, employee, agent or contractor of any of the foregoing or any person otherwise associated with any of the foregoing) responsible for, to the extent permitted by law, death or any injury or any disease infection or for any damage to or loss or destruction of property or any other economic loss or for any consequential loss, in any such case arising from any accident or mishap or otherwise arising from or connected with this event, including, if this happens, after I withdraw from Oxfam TowerRun without finishing it, and whether during or after this event, in preparation for it, travelling to or from it or otherwise. I also agree to indemnify or reimburse the Organizer of this event in respect of any additional expenses or costs incurred by the Organizer of this event arising from or in connection with my participation in this event, to the extent permitted by law. I acknowledge that the Organizer reserves the right to cancel Oxfam TowerRun at any time without prior notice.

2. Disclaimer/ Indemnity: I hereby agree to refrain from any act or behaviour that is illegal, unlawful, defamatory, obscene, threatening, harmful or otherwise offensive throughout the course of the Oxfam TowerRun. This includes but is not limited to anything that may be considered or related to violence, hate speech, harassment, bullying, threats, politics, copyright or other intellectual property infringement, sexually explicit content and obscenity. To the extent I have or wish to have anything published on Oxfam’s platforms or make any comments or statements (in writing, verbally or otherwise) before, during or after the event, I acknowledge and agree that Oxfam has absolute discretion to publish and to remove anything that appears on Oxfam’s platforms at any time and for any reason without prior notice. I acknowledge and agree that all views and opinions expressed by me are those of mine alone and do not necessarily reflect the position and views of Oxfam. Oxfam reserves the right to refuse entry or participation or otherwise discontinue my application status at the event. I acknowledge and agree that I participate in the event at my own risk and that Oxfam has no responsibility to me for any loss or liability I may incur and I agree to indemnify and hold Oxfam harmless against any loss or liability (including any third party claims) that Oxfam may incur to the extent arising out of or in connection with my acts or omissions, to the extent permitted by law.

3. Undertaking to raise sponsorship: I, the undersigned, (a) acknowledge that Oxfam TowerRun is a fundraising event, that all participants (including those that withdraw without giving written notice to the Organizer / are absent / withdraw on the event day) must raise at least MOP/HKD350 for Oxfam and I confirm and agree that I will raise the minimum amount so required to be raised by us for Oxfam; (b) undertake that all funds raised directly or indirectly from my participation in Oxfam TowerRun will be paid in full to Oxfam and that I will not seek to raise funds for other organizations through my participation in Oxfam TowerRun; (c) acknowledge that the Organizer reserves the right not to accept me in all future Oxfam TowerRun events if we fail to raise the minimum amount required; (d) agree that the Organizer will not be liable to refund any donations paid by me if the Oxfam TowerRun is cancelled due to force majeure (including but not limited to government policies, inclement weather, natural disaster, infectious disease, unanticipated incidents related to public transportation or other reasons); (e) acknowledge that Oxfam reserves the right to make the final decision on whether to go virtual with the event or cancel this event; and (f) agree that once I have completed the registration for this event, the donations paid by me will not be refunded.

4. Agreement to grant rights in respect of image and voice: I, the undersigned, hereby acknowledge and agree that Oxfam may (without reference to, and without the prior approval of, or any payment to, any person) use, in any publicity material connected with Oxfam TowerRun (including but not limited to any of Oxfam’s websites) or in connection with any of Oxfam’s promotional or fundraising activities, any photograph, film, videotape, record or other reproduction of the image and/or voice of me , my teammates or members of my support team who take part in Oxfam TowerRun and its related activities.

5. Participants' Personal Data: The personal data collected will be treated as strictly confidential and will be used by Oxfam and its service providers for the purposes of this event, donation administration, receipt issuance and related communications. To connect closely with you and to keep you informed about Oxfam’s work against poverty as well as advocacy, development and fundraising progress, Oxfam and its service providers may use your contact information (name, telephone, email and address) for the purpose of communications, fundraising, volunteer recruitment and survey administration.

6. Participant health declaration: I, the undersigned, hereby acknowledge and agree that in order to prevent or minimize the risk of respiratory infectious disease, Oxfam will implement appropriate arrangements in accordance with relevant guidelines. To limit the total number of participants at this event, Oxfam will set a quota limit for the number of participants for each category, which will be filled on a first-reported-first-served basis. Also, I declare that I am in good mental condition and in good health, and have the ability to cope with this activity, and that I have not been diagnosed by a medical practitioner to be physically fit to participate in this activity. I declare that the information provided on the participation form is indeed correct.

7. Parental/guardian consent and declaration of health status for participants under 18 years of age.

Guardian name

Relationship to participant

Mobile

I give my consent for the participant to participate in the above activities and declare that he/she is in good health and fitness.

Agree

Disagree

Please Choose

Credit Card*

If donate/payment by UnionPay, can only choose to settle in Hong Kong dollars.

I understand that my personal data will be collected and used in accordance with Oxfam Hong Kong’s Privacy Policy, including the protection of the security, integrity, and confidentiality of the personal data, available at https://www.oxfam.org.hk/en/privacy-and-security .#

#Remark

Oxfam Hong Kong may use your name and contact details (including email address, mailing address, and telephone number) to share information about our poverty alleviation work, advocacy campaigns, educational materials, and related charitable activities, including donations, fundraising events and projects that support our mission for direct marketing purposes. Please refer to the Privacy Policy for more details.

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International Day for the Eradication of Poverty, Run for a World without Poverty