Senshu Marathon 2014 Entry Form
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2014 SENSHU INTERNATIONAL CITY MARATHON 1. Full name 2. Date o birth 3. Age 4. Gender Male Female 5. Address (must be a Wellington City resident) (Please also submit proo o address such as a copy o phone bill or power bill) Yes, I have attached proo o my address 6. Contact phone numbers: Home Mobile Work 7. Running club (i applicable) 8. Reeree to comment on your training and tness: Name Landline phone number 9. Your best two marathon times (ull marathon, 42.195km): 1) When Where Time hours minutes 2) When Where Time hours minutes 10. Your most recent marathon time: 1) When Where Time hours minutes 11. Running events completed this year 12. Are you prepared to talk to the media and interested groups about your trip when you return? (The winners will also be required to write a report by 1 June 2014) Yes No 13. On a separate sheet o paper please tell us why you think you are the right person to represent Wellington in the 2014 Senshu International City Marathon. (Limit 500 words) Y es, I have attached my essay The winner must be in good health and provide a current medical certifcate which includes electrocardiogram, chest x-ray and blood pressure. T o apply, please email this form to [email protected] or post to Wellington Sakai Association, PO Box 7215, Wellington 6242.
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Transcript of Senshu Marathon 2014 Entry Form
7/27/2019 Senshu Marathon 2014 Entry Form
http://slidepdf.com/reader/full/senshu-marathon-2014-entry-form 1/2
2014 SENSHUINTERNATIONAL CITY MARATHON
1. Full name
2. Date o birth 3. Age 4. Gender Male Female
5. Address (must be a Wellington City resident)
(Please also submit proo o address such as a copy o phone bill or power bill)
Yes, I have attached proo o my address
6. Contact phone numbers: Home
Mobile
Work
7. Running club (i applicable)
8. Reeree to comment on your training and tness: Name
Landline phone number
9. Your best two marathon times (ull marathon, 42.195km):
1) When Where Time hours minutes
2) When Where Time hours minutes
10. Your most recent marathon time:
1) When Where Time hours minutes
11. Running events completed this year
12. Are you prepared to talk to the media and interested groups about your trip when you return?
(The winners will also be required to write a report by 1 June 2014)
Yes No
13. On a separate sheet o paper please tell us why you think you are the right person to represent Wellington in the
2014 Senshu International City Marathon. (Limit 500 words)
Yes, I have attached my essay
The winner must be in good health and provide a current medical certifcate
which includes electrocardiogram, chest x-ray and blood pressure.
To apply, please email this form to [email protected] or post to
Wellington Sakai Association, PO Box 7215, Wellington 6242.
7/27/2019 Senshu Marathon 2014 Entry Form
http://slidepdf.com/reader/full/senshu-marathon-2014-entry-form 2/2
RUN FOR
WELLINGTON!
We are looking for a marathon runner to represent Wellington!
in the 2014 Senshu International City Marathon in Osaka, Japan on 16 February 2014
Our successul representative will travel FREE to
Japan, staying three nights in a hotel and three
nights in a Japanese homestay. This wonderul
opportunity comes rom Wellington’s sister-city
link with Sakai City, one o the host cities or the
Senshu Marathon.
For further details, contact Christine Jones on
[email protected] or call 386 3314.
Please apply by downloading the application
form from Wellington City Council’s website
Wellington.govt.nz or Wellingtonsakai.org.
Email to [email protected] or post it
to Wellington Sakai Association, PO Box 7215,
Wellington 6242 by Friday 25 October.
Shortlisted candidates will be interviewed and
then the fnalists will go into a draw to win.
Listen to Newstalk ZB’s ‘All Sport Breakast’
7–9am, Saturday 9 November, when the Mayor o
Wellington will announce the winner.
I you are:keen to be an ambassador or Wellington Cityable to contribute and participate in the Wellington Sakai Associationater you returnhave completed marathonsa regular runner, t and in trainingable to run a mostly fat-course marathon in winter conditions in ourhours or lessa Wellington CIty resident 18 years or over.
