Instructions: Please complete the following form and send it to the Kenya Coalition to Ban Landmines (KCAL) at fax: +254-20-573-099/ 223-307 or email: kcalSPAMFLTER@SPATMFLTERafricaonline.co.ke
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Surname
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First Name
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Passport/ ID Number
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Gender (check one)
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Male
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Female
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Age
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Telephone
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Mobile
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Address
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Email
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Race Category (check one)
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10km run
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5km run
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Corporate challenge
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Wheelchair race
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Next of Kin
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Telephone of Next of Kin
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In consideration of the acceptance of my entry, I, my heirs, successors and assigns do hereby unconditionally waive and release the organizers, this competitions sponsors and all persons and agencies connected with it from all claims and damages whatsoever, that may arise from my participation in this competition, including without limitation, personal injury.
This registration is to facilitate your quick registration before the race. However you or your team will be required to sign registration forms before the race.
Fees: 500 (adults), 300 (kids), 15,000 (teams of 2-10 people)
