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In order to declare participation in the marathon, please fill in the registration card below or
contact
the Championship office directly.
Surname
First name
Date of birth
Sex
--- select ---
female
male
Nationality
Name of the Parliament
Address No.1 (official)
Street/Number
Town
Zip-code
Country
Telephone number
Fax number
E-mail address
Address No.2 (private)
Street/Number
Town
Zip-code
Country
Marathon best time
H/MIN/S
Year
Where?
Club
Distance choice
-------- select --------
Marathon 42 km 195 m
Half marathon 21 km 98 m
Rozmiar koszulki
--- select ---
M
L
XL
XXL
I state that I know the Regulations of the X Poznań Marathon and I agree to comply with them. The regulations of the X poznań Marathon are available at
www.marathon.poznan.pl
.
Hereby I declare that I am capable of taking part in the X poznań Marathon and that I am starting in the marathon at my own responsibility.
Download registration card (file Word, 44KB)
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