Application Form for 2015 Great Wall Marathon

Runners Official Entry
THE GREAT WALL MARATHON
16th May 2015
Dear Runner,
Thank you for your application. An entry form is attached below
and the exclusion of liability you will find on the reverse. Please
complete all the boxes and make sure that you understand the
exclusion of liability before signing.
Closing date for acceptance
Please be aware that neither your tour package nor participation
in the Great Wall Marathon will be confirmed until your fully
completed entry has been received by your tour operator and
this at latest by 16th March, 2015.
---------------------------------------Last name (as written in passport)
First name (as written in passport)
Street & house number (Present home address)
M/F
Date of birth
(DD/MM/Year)
City (Present home address)
The Great Wall Marathon 2015
is timed by BibTag system
(timing tag on the racing bib number).
Zip / Postal Code (Present home address)
State/Province (Present home address) Country (Present home address)
Telephone (Present home address)
Present nationality
E-mail address
Running Club (if any)
T-shirt Size (XS/S/M/L/XL/XXL)
I will participate in the following RUN of The Great Wall Marathon 2015:
Marathon
Half Marathon
Best marathon time in 2013/2014
hour
Min.
Sec.
8.5Km
Best half-marathon time in 2013/2014
hour
Min.
Sec.
Best 8.5 KM time in 2013/2014
hour
Min.
Sec.
Surname / First name of person to contact in case of emergency
E-mail address of the person to contact in case of emergency
Phone number of the person to contact in case of emergency
No entries or bookings are confirmed until the signed entry form and full payment have been
received.
Date:
Signature:
Please note: You must personally sign this agreement. By signing
you acknowledge that you have read, understood and accepted the
Exclusion of Liability contract.
Please return this signed entry form to:
NOTICE:
Please sign and photo this entry form,
send it by email to
[email protected]