Entry form Sénart 2017 Runner

Entry form Sénart 2017 Runner

Race

Last Name................................................................................

Marathon

First Name............................................................................... Gender

F

10Km

M

Year of birth.............................................................................

Entry Fees

House and street...................................................................... ............................................................................................... ZIP code...................................................................................

Marathon

36€

10km

12€

City.......................................................................................... Country.................................................................................... E-mail adress............................................................................

For all runners : join obligatory with the entry form a medical certificate sub 1 year by the day of the race mentioning that you are fit to practice running in competition. By this, I accept the official rules edited by Senart marathon and available for consultation on www.marathon-senart.com. Besides I have noted that any incomplete registration form (without medical certificate) won't be accepted. Date

Firm