• Run Jaunpur Run (Clean Jaunpur Green Jaunpur)
5KM Run/Fun Walk Registration Form*Mandatory fields
Name *
Father's Name*
Gender*
Date of Birth* (dd-Mon-yyyy) / /
Contact Number*
Emergency Contact No.*
Email Address
(e.g.abc@domain.com)
Address*
State*
District*
Pincode*
Age on Race Day *
Event*
  • 5KM
  • Fun Walk 2KM
T-Shirt Size*
  • S
  • M
  • L
  • XL
Entry Fee(Check One)*
  • Rs.200. 5KM Run
  • Rs.200 Individual Fun Walk 2 KM
Declaration
AWARDS: For adults, the top 3 male finishers and top 3 female finishers will win medals. & cash Prizes.
Medals will also be awarded to the top finishers in youth categories: 10 and under, 11-12, 13-15, 16-19 Release and waiver (Please Read and sign)
I know that running is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I also know that, although police protection might be provided, there could be traffic on the course route; therefore , I assume the risk of running in traffic. I also assume any other risks associated with running this event including, but not limited to, falls, contact with other participants, and the effects of weather and conditions of the road. I understand I am solely responsible for my own safety while traveling to and fro m or participating in this event.
Knowing these facts and inconsideration of your acceptance of my entry, I hereby for myself, my heirs, executors, administrators, or anyone else who might sue on my behalf covenant not to sue, and waive, release, and discharge the sponsors or contributors to this event, any race officials, volunteers, the city and police agencies, their representatives successors or assignees from any and all claims of liability for death, personal injury, or property damage of an y kind or nature whatsoever arising out of, or in the course of my participation .
The release form and waiver extends to all claims of every kind or nature whatsoever, foreseen and unforseen, known and unknown. The undersigned further grants full permission to use any photographs, video tapes, motion pictures, recordings, or another record of the event for any purpose. Minors will be accepted with a parent’s signature.
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