Membership Application

First name in Chinese:(if any)
Last name in Chinese:(if any)
First name in English:

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Last name in English:

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Name used in iTRA:
Gender:

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Date of Birth:
Nationality:

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Present country of residence:

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Mailing address:

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Mobile Number:

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Mobile number (Enter this phone number when logging in)

Can be reached by WhatsApp or Signal?

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Email:

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Email (Enter this email when logging in)

What is your running club / hiking group?

If more than one name, please separate with comma

Have you ever participated in or registered for the following events (If yes, you can choose one or above)?

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Subscribed Rebel Channel?

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Trail running experience (based on joining races)

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The longest distance of trail running race within 2 years (Unit: km)

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Road running experience

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The longest distance of road running race within 2 years (Unit: km)

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The 3 most frequently purchased gears in 1 year:
Joined sports training before, if yes, pls choose the type(s):
Your personal data would be used only by Rebel for purposes of communication and promotion. Any personal data no longer required for these purposes will be deleted immediately.

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* Mandatory item

Please finally check the above information clearly and read "Rebel Membership Program" Terms and Conditions and "Rebel Membership Program" Privacy Policy before submit the application.
The information cannot be modified temporarily after submitted. Thank you for your understanding.

中文表格 English