Yap Visitors Bureau

Mogethin Marathon LogoMOGETHIN MARATHON
June 26, 2010 - Yap, FSM
OFFICIAL REGISTRATION FORM




WAVER:
In consideration for your accepting my entry in the Mogethin Marathon and associated races (including but not limited to the full marathon, the half-marathon, the 5K, and the Fun Run), I, by accepting below, intending to be legally bound, waive and release for myself, my heirs, executor and administrators, any and all rights and claims for damages, demands and any other actions that have resulted from my participation in the event, which I may have against the Mogethin Marathon Organizing Committee, the state of Yap, and all participating supports and those entities representatives, successors and assignees. I agree to hold these entities, and their agents, representatives, successors, and assignees harmless from any liability including any and all injuries, to include death, that are suffered by me as a result of my participation in this event. I verify that I have full knowledge of the rigors of this race and the risk involved in participation, and I am physically fit and have sufficiently trained to complete this event. I realize medical support for this event will consist primarily of volunteer medical personnel prepared to administer first-aid type assistance along the race course and finish line. I hereby grant permission to the Mogethin Marathon and its sponsors to use all information submitted in my application, and any photograph, videotape, motion pictures, recording and any other record of this event including pre-race and post-race publicity. By accepting, I also verify that I am of 18 years of age or have the consent of my parent or legal guardian.

Please make a selection.
Registration Information (required):
Registration Fees:
Local (FSM Resident)
Non-Local
All Participants
by June 4
by June 25
by June 4
by June 25
by June 4
by June 25
Marathon
$2
$15
$15
$35
5K
$2
$6
Half Marathon
$2
$15
$15
$35
Fun Run
FREE
FREE
ALL ENTRIES ARE NON-REFUNDABLE & NON-TRANSFERABLE

Choose the Run Would You Like to Join:
Please make a selection.

Choose your form of payment: (You will be contacted by e-mail)
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Personal Information (required):
A name is required. A name is required.

A address is required. A city is required.

A state is required. A zip code is required.

A country is required. A email is required.

A value is required. A value is required.Invalid format. A value is required.

A value is required.Invalid format. Invalid format.
Other Information:
Is this your first Marathon?

T-Shirt Size (Choose One)
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