< Click here for Local Entry Participants>

Penang International Dragon Boat Race 2006
Teluk Bahang Dam, Penang, Malaysia
26 - 28 May 2006
Entry Form for Overseas Entry Participants

(Please send this Entry Form before 30 April 2006)
Download Photo Submission Form


Name of Dragon Boat team:  

   

Country:  

   

Total number of team members:  

   
 
Men
+
Women
=
Total

1

Penang International Open Race

20 Crew

500m

2

Penang International Open Race

12 Crew

500m

3

Penang International Women Race

20 Crew

500m

4

Penang International Women Race

12 Crew

500m

5

Penang International Mixed Race

20 Crew

500m

6

Penang International Mixed Race

12 Crew

500m

7

Penang International Junior Race

20 Crew

500m

8

Penang International Junior Race

12 Crew

500m

9

Penang International Senior Race

20 Crew

500m

10

Penang International Senior Race

12 Crew

500m

11

Penang International Senior Mixed Race

20 Crew

500m

12

Penang International Senior Mixed Race

12 Crew

500m

13

Penang International Breast Cancer Survivors Race

20 Crew

500m

14

Penang International Breast Cancer Survivors Race

12 Crew

500m


Date Of Arrival In Penang:
Flight No :
Flight Time:
   
Date Of Departure From Penang:
Flight No :
Flight Time:

Accommodation package needed @ US$45.00/person/night:
   

 
US$45.00 x
Person x
Nights =
US$
 

All payments in US$ should be made by bank drafts or telegraphic transfer payable to:

Account name: Penang International Dragon Boat Festival
Account No : 507059211882
Swift Code : MBBEMYKLA
Bank : Maybank KOMTAR,
Penang, Malaysia.

And sent to the Executive Secretary before 15 May 2006.


Team name list, Team leader’s declaration form , Photographs of participants should be submitted before 15 May 2006. Please download formats from the PIDBF website: www.penangdragonboat.com


   
Contact person:
   
Name:
   
Position:
   
Address:
   
Tel:
   
Fax:
   
Email:
   


Statement of responsibility:
My team wishes to participate in the above race events and we will abide all Race Rules & Regulations as mentioned. We also understand that my team members will be responsible for their own safety throughout the races.

I agree

Name:  

 

Date:  

   
Name List for Crew Participants:


Printable Entry Form
- Overseas Participants
- Local Participants
- Download Photo Submission Form