Team Crossroads Jerusalem Marathon Registration Form March 08th 2024

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Registration form for Team Crossroads for the March 08th 2024 Jerusalem Marathon

Email *

Full Name *

Age (if under 18, need parents permission) *

Id Number *

Phone Number *

email address *

Birthdate (Month, Day, Year) *

Address *

Did you run with crossroads in the past years? *

Yes

Which race would you like to register for? *

Family race 1.7

10K

Half marathon

Full marathon

T shirt size (Men, women and children sizes) *

The funds raised during the marathon is allocated to ensuring the continuity of our crucial life-saving services.

What is your Fundraising goal? (we encourage $500) *

How did you hear about Team Crossroads? *

I'm running for Crossroads because... (You answer here will go on your fundraising profile) *

For age 18 & above-

I hereby declare that I am healthy and fit to participate in the race. That I have suitably trained, and my physical condition has been examined and confirmed by a certified physician. I hereby forgo any claims of responsibility towards Amutat Tzomet (Crossroads), regarding any injury I may incur, including physical injuries before, during, or after the race, and including any property damages, and/or loss of personal equipment I may incur. I, the undersigned, declare that I will not pursue any claim for compensatory damages against the above mentioned parties hereby agree that the marathon headquarters, the sponsors of the Jerusalem marathon, and the municipality of Jerusalem, may use the pictures in which I appear during the marathon, before and after, for public relations purposes and they also may broadcast parts of the marathon and/or in whole on any existing broadcasting medium or that will exist in the future (television, internet, cellular and/or any other medium) without compensation.

yes

Please fill out below if you are under 18-

I hereby declare that my son/daughter is healthy and fit to participate in the race. That he/she has suitably trained, and his/her physical condition has been examined and confirmed by a certified physician. I hereby forgo any claims of responsibility towards Amutat Tzomet (Crossroads), regarding any injury he/she may incur, including physical injuries before, during, or after the race, and including any property damages, and/or loss of personal equipment he/she may incur. I, the undersigned, declare that I will not pursue any claim for compensatory damages against the above mentioned parties hereby agree that the marathon headquarters, the sponsors of the Jerusalem marathon, and the municipality of Jerusalem, may use the pictures in which he/she appear during the marathon, before and after, for public relations purposes and they also may broadcast parts of the marathon and/or in whole on any existing broadcasting medium or that will exist in the future (television, internet, cellular and/or any other medium) without compensation.

Yes

Clear selection

Name of the Parent & Contact details-

Emergency contact (name. relationship to runner, phone number) *

Please email marathon@crossroadsjerusalem.org a picture to be used for your fundraising pg *

Any other info we should know? *

Registration is currently free until Febuary 8th, 2024

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