North Queensland Marathon 1999

This page last updated: Saturday 20 March 2010

North Queensland Marathon 1999 - Entry Form Return to Index

1999 North Queensland Marathon/Half Marathon/10km

Instructions: Print this form, complete and send with entry fee to the postal address below

Entry Fees: Entries requiring T-shirt must be lodged by 18/7/99. A limited number of Half Marathon Finisher T-shirts will be available for sale at $15 each.

Marathon $50 (incl. T-Shirt)
Half Marathon $50 (incl. T-Shirt)
10km $? (not incl. T-Shirt)

Entry on the day - $20 extra

All cheques and money orders should be made payable to:
Townsville Road Runners, PO Box 1840, Townsville, QLD 4810

SURNAME:_______________FIRST NAME:_________________SEX: (M / F)____AGE ON 1/8/99:_____

ADDRESS:____________________________STATE:________POSTCODE:________PHONE:_____________

T-SHIRT SIZE: (S M L XL)_____					   FEE: $_____

Please indicate with X in block provided which event you are entering.

			MARATHON		HALF MARATHON		10KM
			male	female		male	female		male	female			

Under 18 - (½ mara only)			[ ]	[ ]		[o]	[o]
18-29			[ ]	[ ]		[ ]	[ ]		[o]	[o]
30-39			[ ]	[ ]		[ ]	[ ]		[o]	[o]
40-49			[ ]	[ ]		[ ]	[ ]		[o]	[o]
50-59			[ ]	[ ]		[ ]	[ ]		[o]	[o]
60+			[ ]	[ ]		[ ]	[ ]		[o]	[o]
Wheelchair Athlete	[ ]	[ ]		[ ]	[ ]		[o]	[o]
Power Walker					[ ]	[ ]		[o]	[o]
Big Man - (86kg+)	[ ]						[o]	[o]

First race over this distance? (Y / N)____	Estimated Finish Time:___:___:___

Time of previous marathon run:___:___:___	Year:______

DECLARATION - Entries will not be accepted unless signed

I, whose signature appears on the bottom hereof in consideration of and as a condition of acceptance of my entry in the 1999 Marathon or Half Marathon for myself, my heirs, executors and administrators hereby waive all and any claim, right of cause of action which I or they might otherwise have for or arising out of loss of my life or injury, damage or loss of any description whatsoever, which I may suffer or sustain in the course of or consequent upon my entry or participation in the above race. I will abide by the Race Rules governing this event.

Signature of Entrant:_____________________________Date:_____________

HALF MARATHON / 10KM - Declaration to be signed by parent or guardian

If you are 17 or under on the day of the race, this declaration must be signed by your parent or guardian.

I certify that I am the parent/guardian of_____________________who will be____ years of age on the day of the race and that he/she has trained for and has my consent to run in this event.

Signature:_________________________________________Date:_____________

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