Registration – Great Abeokuta 10KM Race

Family Name*

Given Name*

Preferred Name*

Date of Birth*

Gender*

Female

Male

Country of Birth*

Nationality*

State of Origin*

Email*

Contact Phone No.*

Height*

Weight*

Disability

Tick if any

Contact Address

Emergency Contact Phone No.*

Attestation*

I attest and verify that I have full knowledge of the risks involved in this event and I am physically fit and sufficiently trained to participate. The undersigned grants full permission to any and all forging use to his/her likeness, including photographs and video tapes for publicity and advertising purpose without compensation.

The Great Abeokuta 10km Road Race Race Registration

The Great Abeokuta 10km Road Race
Race Registration