Application / „∫ ¡—§√ ‘ßÀÏÀ“¥™–Õ” ∫‘°‘π’∫’™√—π 2558 SINGHA CHA AM BIKINI BEACH RUN 2015 «—πÕ“∑‘μ¬Ï∑’Ë 15 ¡’π“§¡ 2558 / Sunday 15, March 2015 @ Cha Am Beach, Petchburi, Thailand ‚ª√¥°√Õ°¢ÈÕ§«“¡„ÀÈ ¡∫Ÿ√≥Ï (Please Print Or Write Clearly) ™◊ËÕ‰∑¬ ........................................................................................ English Name .............................................................*(Timing chips) «—π‡¥◊Õπª’‡°‘¥ (Date of Birth) ......../.............../.......... Õ“¬ÿ (Age) .......ª’ —≠™“μ‘ (Citizenship) .....................‡æ» (Sex) ™“¬ (Male) À≠‘ß (Female) ¢π“¥‡ ◊ÈÕ«‘Ëß/Singha Running T-shirt SS S M L XL XXL ∑Ë“π‡§¬‡¢È“√Ë«¡°“√·¢Ëߢ—π√“¬°“√π’È/Participant : เคย/Yes ไม่เคย/No —ß°—¥∑’¡/™¡√¡ (Team/Club) .............................................................. ®—ßÀ«—¥ (Province) ...........................ª√–‡∑»(Country)........................... E-mail : ........................................................................ ‚∑√ (Tel.)...................................... ขอสมัครลงแข่งขัน / CATEGORY MINI MARATHON 10.5 Km. §Ë “ ¡— § √ 300 ∫“∑ STANDARD RUN À≠‘ß/Female ™“¬/Male 15&Under 50&Over 15&Under 50-59 16-39 16-39 60&Over 40-49 40-49 BIKINI RUN Male Open / ∑—Ë«‰ª™“¬ Female Open / ∑—Ë«‰ªÀ≠‘ß FUN RUN 4 Km. §Ë “ ¡— § √ 300 ∫“∑ OPEN ∑—Ë«‰ª ™“¬/À≠‘ß §”√—∫√ÕߢÕߺŸÈ ¡—§√ ¢È“懮ȓ·≈–ºŸÈ√Ë«¡∑’¡∑ÿ°§π ‰¥ÈΩ÷°´ÈÕ¡√Ë“ß°“¬ ‡æ◊ËÕ‡¢È“√Ë«¡°“√·¢Ëߢ—π¥—ß°≈Ë“«‡ªÁπլ˓ߥ’ Õ’°∑—È߬‘π¥’‡¢È“√Ë«¡°‘®°√√¡μ“¡∑’Ë ¡—§√¢È“ßμÈπ ¥È«¬§«“¡‡μÁ¡„® ·≈–®–‰¡Ë‡√’¬°√ÈÕߧ˓‡ ’¬À“¬„¥Ê ®“°ºŸÈ®—¥·≈– ∂“π∑’Ë À“°‡°‘¥Õ—πμ√“¬ À√◊Õ°“√∫“¥‡®Á∫·°Ëμ—«¢È“懮ȓ·≈–ºŸÈ√Ë«¡∑’¡∑ÿ°§π ∑—Èß°ËÕπ ·≈–À≈—ß°“√‡¢È“√Ë«¡°“√·¢Ëߢ—π Õ’°∑—È߬‘π¥’∑’Ë®–· ¥ßÀ≈—°∞“π ‡æ◊ËÕæ‘ Ÿ®πÏÕ“¬ÿ¢Õßμ—«‡Õß °ËÕπ√—∫ √“ß«—≈™π–°“√·¢Ëߢ—π μËÕ§≥–ºŸÈ®—¥°“√·¢Ëߢ—π WAIVER STATEMENT I certify that I am medically fit to compete and fully understand that I enter at own risk, and the organizers will in no way be held responsible for any injuries, illness or loss, or as a result of the event ≈ß™◊ Ë Õ /Signature............................ºŸ È ¡— § √ ....... /................. 2015 ........................ºŸ È ª °§√Õß (°√≥’Õ“¬ÿμË”°«Ë“ 15 ª’ / In Case of 15 Years of Age & Unde r) „∫ ¡— § √π’ È “¡“√∂∂Ë “ ¬‡Õ° “√‰¥È / Reproducing of this form is permitted. SINGHA CHA AM BIKINI BEACH RUN 2015 ‡∑»∫“≈‡¡◊Õß™–Õ” ¡“§¡∏ÿ√°‘®°“√∑ËÕ߇∑’ˬ«®—ßÀ«—¥‡æ™√∫ÿ√’ ¢Õ‡™‘≠√Ë«¡·¢Ëߢ—π Sunday 15, March, 2015 Location : Cha Am Beach, Phetchaburi Province Start-Finish @ Long Beach Cha Am Holel Time Record by Ultimate Timing chips Systems DISTANCE MINI MARATHON 10.5 Km. Run (on the Road 8.5 km.+ on the Beach 2 km.) Starting 06.00 a.m. Entry Fee 300 Baht *(Timing chips) CATEGORIES STANDARD RUN Male :15&Under/16-39/40-49/50-59/60&Over Female :15&Under/16-39/40-49/50&Over CATEGORIES BIKINI RUN : Male Over & Female Over FUN RUN 4.5 Km. Run (on the Road 2.5 km.+ on the Beach 2 km.) Starting 06.00 a.m. Entry Fee 300 Baht CATEGORIES : OPEN (Non Compettitive / No Timing chips) PLACE TO ENTER Online Registration : www.JogAndJoy.com (payment through PayPal) Pay entry fee to Kasikorn Bank, Account No:746-2-04401-6 On Nut 39 branch, Account name : URAIWAN KOMPIWONG *Please send your Application form and payment slip by Fax. 02-721-6008, or E-mail : [email protected], Tel.02-721-6009, 086-391-8434 AWARDS / CASH PRIZE / MEDAL / T-SHIRT Finishers 1-5 of Mini Marathon 10.5 km.Run will be awarded with trophies. Finishers 1-5 of Bikini Beach Run 10.5 km. male & female will be cash prize 5,000/4,000/3,000/2,000/1,000 Baht. Finishers 1-3 Over All of Mini Matathon Standard Run 10 km. male & female will be cash prize 3,000/2,000/1,000 Baht. The medal for everybody who complete the course. All runners will be received the Singha Running Shirt 2015 or T-Shirt 2015 The Photo Certificate for Bikini Beach Run 10.5 km is finishers. BIB Number-Timing Chip and Running-shirt Colletion at Long Beach Cha Am Hotel Saturday 14 Mar 2015 (02.00-06.00 PM) or Sunday 15 Mar 2015 (04.30-05.50 AM) Long Beach Cha Am Hotel for runner 2,000 Baht/Night Booking by e-mail : [email protected] สิงห์หาดชะอำบิกินีบีชรัน Sunday 15 March 2015 15 ¡’ 𠓧¡ 2558 ≥ À“¥™–Õ” ÀπÈ “ ‚√ß·√¡≈Õß∫‘ ™ Õ”‡¿Õ™–Õ” ®— ß À«— ¥ ‡æ™∫ÿ √ ’ www.JogAndJoy.com ‘ßÀÏÀ“¥™–Õ” ∫‘°‘π’ ∫’™√—π 2558 (§√—Èß∑’Ë 7) «—πÕ“∑‘μ¬Ï∑’Ë 15 ¡’π“§¡ 2558 ≥ À“¥™–Õ” ÀπÈ“‚√ß·√¡≈Õß∫’™ Õ”‡¿Õ™–Õ” ®—ßÀ«—¥‡æ™√∫ÿ√’ ∫‘° ‘π ’∫ ’™√—π ∫πÀ“¥™–Õ” §√— È ß ∑’ Ë 7 «— μ ∂ÿ ª √– ß§Ï 1.‡æ◊ËÕ Ë߇ √‘¡·≈–ª√–™“ —¡æ—π∏Ï °“√∑ËÕ߇∑’ˬ«À“¥™–Õ” ª’ 2558 μ≈Õ¥®π ∂“π∑’Ë∑ËÕ߇∑’ˬ«„°≈ȇ§’¬ß¢Õß®—ßÀ«—¥‡æ™√∫ÿ√’ 2.‡æ◊ËÕ Ë߇ √‘¡°“√∑ËÕ߇∑’ˬ«¿“¬„πª√–‡∑» 3.‡æ◊ËÕ Ë߇ √‘¡°“√ÕÕ°°”≈—ß°“¬‡æ◊ËÕ ÿ¢¿“æ √Ÿª·∫∫„À¡Ë „ÀÈ Õ¥§≈ÈÕß°—∫‡¡◊Õß∑ËÕ߇∑’ˬ«™“¬∑–‡≈ §◊Õ«‘Ëß ∫‘°‘π’∫‘™√—π 4.‡æ◊ÕË ¬°√–¥—∫°“√®—¥°‘®°√√¡«‘ßË √–¬–‰°≈∫π∂ππ ºπ«°°—∫À“¥∑√“¬ ∑’Ë «¬ß“¡‡¢È“¥È«¬°—π ‚¥¬¡ÿËßÀ«—ß„ÀÈ°‘®°√√¡π’È„ÀȇªÁπ°‘®°√√¡°“√ ·¢Ëߢ—π«‘Ëß∫πÀ“¥∑√“¬ª√–‡æ≥’ ◊∫μËÕ‡π◊ËÕ߉ª ¡—§√ÕÕπ‰≈πÏ ™”√–¥È«¬∫—μ√‡§√¥‘μ (Master/Visa) ºË“π√–∫∫ PayPal ∑’ˇ«Á∫‰´μÏ JogAndJoy.com ‚∑√. 02-721-6009, 081-867-5262 ¡—§√∑“ß∏𓧓√ ‚Õπ‡ß‘π‡¢È“∫—≠™’™◊ËÕ Õÿ‰√«√√≥ §”¿‘«ß§Ï ∫/™ ÕÕ¡∑√—æ¬Ï ‡≈¢∑’Ë 746-2-04401-6 ∏𓧓√° ‘°√‰∑¬ “¢“ ¬ËÕ¬ÕËÕππÿ™ 39 ·ø°´Ï„∫ Pay in+„∫ ¡—§√ ¡“∑’Ë Fax:02 02 721-6008 À√◊Õ E-mail : [email protected] ‚ª√¥π”À≈—°∞“π∑’Ë Ëß¡“∑—Èß 2 √“¬°“√ ‰ªμ‘¥μËÕ ≥ ‚√ß·√¡≈Õß∫‘™ ™–Õ” ‚∑√.081-867-5262, 086-391-8434 «—π‡ “√Ï∑’Ë 14 ¡’π“§¡ 2558 ‡«≈“ 14.00-18.00 π. À√◊Õ „π‡™È“«—π·¢Ëߢ—π «—πÕ“∑‘μ¬Ï∑’Ë 15 ¡’π“§¡ 2557 ‡«≈“ 04.30-05.50 π. (°ËÕπª≈ËÕ¬μ—«) Õ“À“√‡™È“À≈—߇ Èπ™—¬, ∫√‘°“√πÈ”¥◊Ë¡·≈–‡§√◊ËÕߥ◊Ë¡‡°≈◊Õ·√Ëμ“¡¡“μ√∞“π ∂“π∑’Ë°“߇μÁπ∑Ïæ—°·√¡ ≥ À“¥™–Õ” §◊π«—π‡ “√Ï∑’Ë 14 ¡’π“§¡ 2558 ‚√ß·√¡≈Õß∫’™™–Õ” ÀπÈ“®ÿ¥‡√‘Ë¡μÈπ·≈–‡ Èπ™—¬ 2,000 ∫“∑ ¡’‡æ’¬ß 50 ÀÈÕß ®Õß∑’Ë JOG&JOY Tel. 02-721-6009 (§Ë“‚√ß·√¡∫—≠™’‡¥’¬«°—∫°“√ ¡—§√) ‚√ß·√¡∑’Ëæ—°Õ◊ËπÊ Õ∫∂“¡ ∑∑∑. πß. ‡æ™√∫ÿ√’ ‚∑√.(032) 471 005-6 ª√–‡¿∑¢Õß°“√·¢Ë ß ¢— π „π¢≥–∑’ËÀπË«¬ß“π∑—Èß¿“§√—∞·≈–‡Õ°™π μË“ß°”≈—ߙ˫¬°—π æ≈‘°ø◊Èπ‡»√…∞°‘®¢Õߪ√–‡∑»‚¥¬°“√π”‡Õ“°≈¬ÿ∑∏ÏμË“ßÊÕÕ°¡“ ‡æ◊ÕË Ë߇ √‘¡°“√∑ËÕ߇∑’¬Ë « ´÷ßË ‡ªÁπ¡“μ√°“√∑’ Ë “¡“√∂°√–μÿπÈ ‡»√…∞°‘® μ≈Õ¥®ππ”‡ß‘πμ√“‡¢È“ª√–‡∑»Õ¬Ë“߉¥Èº≈ ¥—ßπ—Èπ ∑ÿ°‡¡◊Õß ∑ÿ°ª√–‡∑» μË“ß°Á¡ÿËßæ—≤π“°‘®°√√¡ °“√ ∑ËÕ߇∑’ˬ«¢÷Èπ ·μ˪—®®—¬ª√–°“√ ”§—≠∑’Ë®–∑”„ÀÈ°“√ Ë߇ √‘¡°“√∑ËÕß ‡∑’ˬ«¢Õߪ√–‡∑»ª√– 槫“¡ ”‡√Á®‰¥È πÕ°®“°°“√·°È‰¢ª—≠À“‡√Ëß ¥Ë«π Õ—π‡ªÁπÕÿª √√§∑“ߥȓπ°“√∑ËÕ߇∑’ˬ«·≈È« ¬—ß®–μÈÕ߉¥È§«“¡ √Ë«¡¡◊Õ®“°∑ÿ°ΩË“¬∑’ˇ°’ˬ«¢ÈÕß´÷Ëß®–∑”„ÀÈ°‘®°√√¡μË“ßÊ ∑’Ë®–‡°‘¥¢÷Èπ „ÀÈ¡§’ «“¡ Õ¥§≈ÈÕß ·≈– “¡“√∂𔇠πÕ ‘ßË ∑’πË “Ë π„® ‡ªÁπ‡Õ°≈—°…≥Ï ¢Õß·μË≈– ∂“π∑’Ë∑ËÕ߇∑’ˬ«„ÀÈ‚¥¥‡¥Ëπլ˓ߙ—¥‡®π‡ªÁπ®ÿ¥¢“¬ หาดชะอำ ‡¡◊Õß∑ËÕ߇∑’¬Ë «∑“ß∑–‡≈ ”§—≠¢Õ߉∑¬ ¡’‡Õ°≈—°…≥Ï ‡©æ“–μ—« ¡’ ‘ËßÕ”π«¬§«“¡ –¥«°¡“°¡“¬ °“√‡¥‘π∑“ß –¥«° ‡æ√“– Õ¬ŸË‰¡Ë‰°≈®“°°√ÿ߇∑æœ ®“°§«“¡ ”‡√Á®„π°“√®—¥°“√·¢Ëߢ—π«‘Ë߇æ◊ËÕ Ë߇ √‘¡°“√∑ËÕ߇∑’ˬ«√“¬°“√ ‘ßÀÏÀ“¥™–Õ” ∫‘°‘π’∫’™√—π 6 ª’∑’Ë ºË“π¡“ ¡“§¡∏ÿ√°‘®°“√∑ËÕ߇∑’¬Ë «®—ßÀ«—¥‡æ™√∫ÿ√’ ‚¥¬§«“¡√Ë«¡¡◊Õ ¢Õß ‡∑»∫“≈‡¡◊Õß™–Õ”, πÈ”¥◊¡Ë μ√“ ‘ßÀÏ, °“√∑ËÕ߇∑’¬Ë «·ÀËߪ√–‡∑»‰∑¬ πß. ®—ßÀ«—¥‡æ™∫ÿ√’ ·≈– JOG&JOY ‰¥È®—¥°‘®°√√¡«‘Ëß∫πÀ“¥∑√“¬ ‘ßÀÏÀ“¥™–Õ”∫‘°‘π’ ∫’™√—π ¢÷Èπ ≥ À“¥™–Õ” ....... ⌫ ¡ÅØ è Á ÍÒÂØ ¡ ÒÃá¢è § ¢Ñ ¹ â»Ã´´Ù à ÒÂÅÐàÍÕ Â ´ã¹ãºÊÁÑ ¤ à °“√·¢Ëߢ—π√“¬°“√π’È „™È√–∫∫ Õ—≈쑇¡∑‰∑¡Ï¡‘Ëß´‘ ‡μÁ¡ Ï ®—∫‡«≈“π—°«‘Ëß10.5 °¡. ∑ÿ°§π ‚ª√¥≈ß∑–‡∫’¬π ¡—§√≈Ë«ßÀπÈ“ ¿“¬„π«—π∑’Ë 10 ¡’π“§¡ 2558 ⌫ ⌫⌫ «‘Ëß¡‘π‘¡“√“∏Õπ 10.5 °¡. («‘Ëß∫π∂ππ 8.5 °¡.+«‘Ëß∫𙓬À“¥ 2 °¡. «‘Ëßø—π√—π 4.5 °¡. («‘Ëß∫π∂ππ 2.5 °¡.+«‘Ëß∫𙓬À“¥ 2 °¡. „πª√–‡¿∑ Bikini Run π—°«‘ËßμÈÕß„ Ë™ÿ¥∫‘°‘π’≈ß«‘Ë߇∑Ë“π—Èπ (π—°«‘Ëß∑’Ë ¡—§√≈ß ·¢Ëߢ—π„πª√–‡¿∑ Bikini Run μÈÕߺ˓π°“√μ√«® Õ∫®“°§≥–°√√¡°“√) Running Map U-Turn 4k √“ß«— ≈ ·≈–¢Õß∑’ Ë √ –≈÷ ° ºŸÈ™π–Õ—π¥—∫ 1-5 «‘Ëß¡‘π‘¡“√“∏Õπ 10.5 °¡. ∑ÿ°°≈ÿË¡Õ“¬ÿ ®–‰¥È√—∫∂È«¬√“ß«—≈ ºŸÈ™π–Õ—π¥—∫ 1-5 ª√–‡¿∑ BIKINI Run ™“¬/À≠‘ß ®–‰¥È√—∫‡ß‘π√“ß«—≈ 5,000 / 4,000 / 3,000 / 2,000 / 1,000 ∫“∑ μ“¡≈”¥—∫ ºŸÈ™π–Õ—π¥—∫ 1-3 Over All ¡‘π‘¡“√“∏Õπ 10.5 °¡. ª√–‡¿∑ Standard Run ™“¬/À≠‘ß ®–‰¥È√—∫‡ß‘π√“ß«—≈ 3,000 / 2,000 / 1,000 ∫“∑ μ“¡≈”¥—∫ π—°«‘Ëß∑ÿ°∑Ë“π ∑ÿ°√–¬–∑“ß ∑’Ë«‘Ë߇¢È“‡ Èπ™—¬ ®–‰¥È√—∫‡À√’¬≠ºŸÈæ‘™‘μ ºŸÈ ¡—§√∑ÿ°§π ∑ÿ°√–¬–∑“ß ®–‰¥È√—∫‡ ◊ÈÕ«‘Ëß ‘ßÀÏ 2015 ∑Ë“π≈– 1 μ—« π—°«‘Ëß ª√–‡¿∑ BIKINI Run ∑’ˇ¢È“‡ Èπ™—¬ ®–‰¥È√—∫ª√–°“»π’¬∫—μ√μ‘¥√Ÿª∂Ë“¬ U-Turn 10K
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