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Central Jamaica Conference of Seventh-day Adventists and Spanskill Health & Charity 5K Run/Walk
“Healthy Body & Mind -Longer Life”
Section A - Personal Data
Last Name *
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First Name *
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Gender *
Email *
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Telephone *
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Nationality
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Date of Birth *
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Organization *
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Section B - Next of Kin
Last Name
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First Name
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Relation
Address
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Telephone
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Section C - Health
Do you have any Medical History of:
I declare that the information given in this Registration Form is true and complete to the best of my knowledge and belief. I understand that any false or misleading information provided on this form, and the violation of any rules governing this event, will lead to an immediate disqualification.
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Disclaimer
Central Jamaica Conference of Seventh-Day Adventist and the Spanish Town SDA Skills Training Centre is not liable for any medical problems, accident, injuries or any other issue that may arise during the participation of this event.
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