Orange Phikwe National Marathon Online Registration form 2018
Registration fees

42.2 km -P250

15 km -P200

10 km- P150

4 km-P100
Name *
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Surname *
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Gender *
Date of Birth *
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ID/ Passport Number *
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Race Information *
Cellphone Number *
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Untitled Title
Age Category *
Residential Address
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Disclaimer I DECLARE THAT ALL INFORMATION STATED ABOVE IS TRUE AND CORRECT. WE ARE IN GOOD HEALTH ,PHYSICALLY FIT AND SUFFICIENTLY TRAINED TO PARTICIPATE IN THE EVENT, WE AGREE TO COMPLY WITH THE RULES, CONDITIONS AND REGULATIONS FOR THIS EVENT, WHICH INCLUDE THE PAYMENT OF THE ENTRY FEE REQUIRED.WE HEREBY RELEASE AND DISCHARGE THE ORGANIZERS OF THE SELEBI PHIKWE NATIONAL MARATHON, 15KM,10KM AND 4KM FUN RUN , BAA SPONSORS, OFFICIALS AND OR VOLUNTEERS MEDICAL PERSONNEL, AND LOCAL AUTHORITIES FROM ANY LOSS,DAMAGE HOWEVER CAUSED ARISING FROM MY PARTICIPATION IN THE EVENT, INCLUDING PRE AND POST RACE ACTIVITIES. THIS WAIVER APPLIES TO OUR EXECUTORS,HEIRS, ADMINISTRATORS ,ASSIGNS AND MYSELF. WE UNDERTAKE NOT TO EXHIBIT OR WEAR ANY ADVERTISING MATERIAL OR LOGOS THAT ARE CONTRARY TO THE RULES OF BAA AND IAAF. I ALSO GRANT MY PERMISSION, IN TERMS OF SECTION 51 OF THE ELECTRONIC COMMUNICATIONS TRANSACTIONS ACT 25 OF 2002,TO USE OUR NAMES, RACE INFORMATION, PHOTOGRAPHS, VIDEO TAPES, BROADCASTS IN WHICH WE MAY APPEAR FREE OF CHARGE AND TO SUPPLY THE INFORMATION TO THE SPONSORS OF THE SELEBI PHIKWE NATIONAL MARATHON 15KM, 10KM AND 4KM FUN RUN.THIS RACE IS UNDER THE RULES AND AUSPICES OF IAAF,BAA, FOREIGN ATHLETES SHOULD NOTE IAAF RULE 4 WHICH REQUIRES THEM TO OBTAIN WRITTEN APPROVAL (PERMIT) FROM THEIR OWN FEDERATION IN A FOREIGN COUNTRY. *
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