saturday november ˜06h00 · registration form - copper half marathon event date: 23 november 2019...
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![Page 1: SATURDAY NOVEMBER ˜06H00 · Registration Form - Copper Half Marathon Event Date: 23 November 2019 Full names of participant ID/Date of Birth Distance (Indicate with X) 40 km Mountain](https://reader034.vdocuments.us/reader034/viewer/2022051815/603cd67bdf8611691d4cff4a/html5/thumbnails/1.jpg)
Lots of prizes to be won.
Participation medals will
also be awarded.
COPPERCOPPER
23 SATURDAY NOVEMBER @06H00
HALF
TSUMEB, UN PARK
For enquiries, contact: Joao da Costa: +264811241404or email: [email protected]
Closing date for all entries: Wednesday, 20 November 2019
Registration and race tags allocation: Friday, 22 November 2019, UN Park, 14h00 – 18h00
MARATHON
Distance and Registration Fees:
• 10 km run – N$ 10
• 5 km walk or run – N$ 5
• 5 km kiddies run – N$ 5
• 21 km run – N$ 30
• 40 km mountain bike cycling – N$ 30
Download registration form: https://www.dundeeprecious.com/English/Operating-Regions/Current-
Operations/Tsumeb/News-and-Events/default.aspx
All proceeds will be donated to a charity organisation in Tsumeb
Sponsored by:
![Page 2: SATURDAY NOVEMBER ˜06H00 · Registration Form - Copper Half Marathon Event Date: 23 November 2019 Full names of participant ID/Date of Birth Distance (Indicate with X) 40 km Mountain](https://reader034.vdocuments.us/reader034/viewer/2022051815/603cd67bdf8611691d4cff4a/html5/thumbnails/2.jpg)
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Registration Form - Copper Half Marathon Event Date: 23 November 2019
Full names of participant
ID/Date of Birth
Distance (Indicate with X) 40 km Mountain
Bike Cycling 21 km run 10 km run
5 km under 13 years
kiddies run
5 km run/walk
Starting times 06h00 06h05 06h10 06h15 06h15
Emergency contact person Contact number
Official Rules:
1. Participants are not permitted to bring or to make use of any means of transport on the course. 2. Participants are not permitted to bring or use MP3/MP4 or other similar headphone devices on the
course, this is not a Closed Road Race and is for Participant’s own safety. 3. Participants are not permitted to gain an unfair advantage where any personnel are supporting or
assisting them from a non-static point, i.e supporters may not run or cycle alongside competitors. 4. Entry fees to be paid during registration on Friday, 22 November 2019 at UN Park, 14h00 – 18h00. 5. All Participants take part at their own risk, and a declaration releasing and discharging all claims against
and indemnifying the organisers and any party acting on behalf of the organisers must be completed by all entrants.
6. All courses will be policed and marshalled. 7. Participants must retire from the race if requested to do so by an official and must comply with all
decisions of and directions given by an official. 8. The event organisers reserve the right to modify, supplement or waive all the Official Rules. Participants
shall be bound by any modifications or supplement of the Official Rules published prior to the cycle or run/walk.
9. The walk, run and cycle will start and end at UN Park, Tsumeb. 10. Completed forms to be mailed to [email protected]
Declaration
I confirm and agree as follows:
I have read and understood and will abide by the Official Rules.
(i) I am participating in the Copper Half Marathon entirely at my own risk and responsibility and understand the risks posed by participation which include, but are not limited to, injury, loss or damage caused by exceeding safe physical exertion threshold suitable for each participant, other runners, spectators, volunteers, vehicular traffic, weather and course conditions, equipment, litter and other items;
(ii) I understand that I am responsible for my own training for the event. I am fit and medically able to participate in the event and have obtained appropriate medical advice and clearance to participate in such a physically demanding event;
(iii) If I am injured or fallen ill or otherwise suffer any detriment whatsoever I hereby irrevocably authorise the event officials and organisers, at my risk and cost, to transport me to a medical facility and/or to administer emergency medical treatment.
(iv) Give permission for my personal information to be processed for the purposes of event administration and further permit my name, quotes and photographic likeness in still photography or video to be used for marketing and promotional purposes.
I have read and agree to the Official Rules and Declaration
Participant/Guardian Signature Date