[指导]广州马拉松报名表
2012广州马拉松个人报名表
2012 Guangzhou Marathon Personal Registration Form
姓名 性别 出生日期 年 月 日 Name Gender D.O.B
血型 学历 国籍 Blood Type Education Nationality 证件类别 证件号码 月收入水平 ID Type ID No. Monthly income
省份 城市 最好成绩 Province City Best results 服装尺码 ? XS ? S ? M ? L ? XL ? XXL ? XXXL Clothing No
请选择您的参赛项目(只限一项~请在所选项目后面的“?”内划上“?”, Registration Events(Single Selection)
? 全程马拉松Marathon participants
年龄20周岁以上,1992年11月18日以前出生 Be over 20 years old (born before November18, 1992) ? 半程马拉松Half Marathon participants
年龄18周岁以上,1994年11月18日以前出生Be over 18 years old (born before November 18, 1994). ? 10公里10km Marathon participants
年龄15周岁以上,1997年11月18日以前出生Be over 15 years old (born before November 18, 1997). ? 迷你马拉松Mini Marathon participants
年龄15周岁以上,1997年11月18日以前出生Be over 15 years old (born before November 18, 1997). 移动电话 固定电话 电子邮箱 Mobile Phone Contact Number E-mail
紧急联系人 紧急联系电话 邮编 Emergency Emergency Post Code Contact Person Contact Number 通讯地址 Address:
参赛选手声明:
1、本人自愿报名参加2012广州马拉松赛及一切相关活动(以下统称“比赛”);
2、本人全面理解并同意遵守组委会及协办机构(以下统称“组办方”)所制订的各项规程、规则、规定、要求及采取的
;
3、本人已在医院做好体检~身体健康~为参赛做好充分准备~并愿意按照有关要求接受药物检查;
4、本人全面理解参赛可能出现的风险~且已准备必要的防范措施;本人愿意承担比赛期间发生的自身意外风险责任~且同意组办方对于非组办方原因造成的伤害、死亡或其他任何形式的损失不承担任何形式的赔偿;
5、本人同意接受组办方在比赛期间提供的现场急救性质的医务治疗~但在医院救治等发生的相关费用由本人自理;
6、本人授权组办方及指定媒体无偿使用本人的肖像、姓名、声音和其它个人资料用于比赛的组织和推广;
7、本人承诺以自己的名义报名并参赛~绝不将报名后获得的号码布和计时芯片以任何方式转让给他人;
8、本人同意在比赛前和比赛期间不得损害、更改及遮盖马拉松官方号码布;
9、本人同意向组办方提供有效的身份证件和资料用于核实本人的身份~并同意承担因身份证件和资料不实所产生的全部责任;
10、本人同意组办方以本人为被保险人投保人身意外险~具体内容已从保险说明书中知晓~本人均予以认可;
11、本人或法定代理人已认真阅读并全面理解以上内容~且对上述所有内容予以确认并承担相应的法律责任。
Participants’ Declaration:
1、I myself voluntarily register for the 2012 Guangzhou Marathon and all activities in accordance with this event
(hereafter referred to as “competition”);
2、I understand comprehensively and agree with all regulations, rules, requirements and measures instituted by the
Beijing Marathon Organizing Committee and event co-organizers (hereafter referred to as “organizers”);
3、I am in good health condition in which I fully prepared for the competition, and I am willing to accept the doping test required by the organizers, if necessary;
4、I understand comprehensively all potential risks in the competition, and has already prepared precautionary measures based on personal health; I am willing to undertake the full responsibility of all personal emergency risks which
occur during the competition, and agree that the organizers do not undertake any compensations and responsibilities of
injury, death, or any other forms of loss, which is caused by participants themselves;
5、I agree to accept the first aid and emergent medical treatment provided by the organizers during the competition, and I shall pay the expenditures by myself in accordance with medical treatment incurred in hospital;
6、I authorize the organizers and designated events media to free use my portrait, name, voice and other personal
information in the organization and promotion of the competition;
7、I promise that I shall register to the competition based on all my true individual information, and will not transfer my bib number and timing chip to any others;
8、I agree to do not deliberately damage, change or mask my bib number before and during the competition;
9、I agree to provide valid personal identity documents and information to organizers for personal status confirmation, and undertake full liabilities due to the false individual documents and information provided;
10、I accept that personal accident insurance provided by the organizers, and all detailed clauses have been recognized and approved from the insurance instruction book;
11、I or my legal representative has fully understood this declaration with duly acceptance and confirmation, and bear
corresponding legal responsibilities.
参赛人签名: 日期:
Signature: Date:
监护人签名,如参赛人不满18岁必须签,: 日期:
Guardian Signature (if participant under 20 years of age ) Date: