GOUNI HALF MARATHON

REGISTRATION FORM

Please fill in our data using BLOCK LETTERS

Title

last Name

First Name

Other Name(s)

Sex

Date of Birth

Marital Status

State

Phone Number

Contact (Phone Number of your Guardian)

Your Email

Parmanent Address

Occupation

Health Challenge(s)

Have you participated in a marathon before?

Undertaking

1) I understand that I am physically fit to particpate inn the Gouni marathon race.

2) That the University shall not be held responsible for any health challenge that I may encounter during and after the marathon.