CYPRUS  APHRODITE   RACES

                            23    NOVEMBER    2008

                       REGISTRATION FORM

 

To Register for the Aphrodite Races,please fill the following form and submit it.

Otherwise print out the Entry Form and sent it to the organisers(either by e-mail or by fax)

More information can by found on our web page  www.runclub.com.cy

All registrations will be confirmed by e-mail if received on or before November 10, 2008 No registration transfer is allowed whatever the reasons.

Completed entries should be sent to:

CYPRUS HEALTH RUNNERS CLUB

P. O. Box 28167  ,  2091,Strovolos

Nicosia, Cyprus.

Tel/ Fax: +35722420559    

 E-mail:runclub@cytanet.com.cy

All entries should be received by Monday 10 November 2008. Late entries (those received after 10 November 2008) may also accommodate a surcharge of  5.00. handling fee.

 

 

RACE NAME:

   

Surname:

Name:

Sex:

Date of Birth:(dd/mm/year)

   

Address:

Postal-code:

City:

Country:

Nationality:

Phone:

E-mail:

T-Shirt:

Photo:

Pasta Party:

Gala Dinner:

 

ENTRY  FEES:

Overseas Runners :             Half Marathon   35.00 ,                        Fun Run:17.00

Cyprus Residents :              Half Marathon  15.00 ,                          Fun Run:10.00

Pasta Party    15.00  

Gala Dinner     20.00

Photo              3.5

Overseas entrants should pay by Visa or MasterCard

 
   

VISA-CARD:

Card Number:

   

PAYMENT:

        
EXPIRATION  DATE: MONTH :

YEAR:     

Cardholder name:

DECLARATION:

 I  declare that I will abide by rules and I accept that the organizers will not be liable for any loss, damage, action, claim, costs or expenses which may arise in consequence of my participation in this event.

 I declare that I will not compete in this race unless I will be in good health on the day of the race and that, in any event, I will only compete at my own risk. The organizers of the race have the right to refuse entry, and the decision of their officials will be final. I authorise the organizers to use any details or photographs for publicity purposes,if they wish so.

 I  hearby signify that I have read and agree to the terms of the above declaration.

 

  Name: