2021 ASICS Falmouth Road Race Application

  • Entry Information

  • *please note, only "runners" can be considered for in person race in Falmouth due to race time cap
  • Applicant Information

  • Fundraising Experience

  • Please Tell Us About Yourself

  • Emergency Contact:

    In the event of illness, injury, or medical emergency during the event or in the training and planning sessions for said event, I hereby authorize and give my consent to JAF to secure from an accredited hospital, clinic and / or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment and any/all medical services and treatment rendered to be including but limited to medical transport, medical treatment and hospitalization. The following person should be contacted in the event of an emergency.
  • Please type your full legal name.
  • Date Format: MM slash DD slash YYYY
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