Asansol Marathon 2016

Run For “SAFE DRIVE SAVE LIFE”

Organised by

Asansol Durgapur Police

Date: December 18, 2016 at 07.00am

Registration Form

Venue :: Polo Ground, Asansol

If you are student of Class 10 or below, please select the following checkbox and download the form 

Entry (tick √ any one)

Personal Information :

Others Information for School Students (Class - X & below) :

Name of the School__________________________________________________________________________________________________In which class_____________

(Date of Birth to be certified by School Authority)



________________________

Signature of School Authority

Prize Details :

Half Marathon for
Men 21.1 KM(Open)
1st Prize – Rs. 11,001/-, 2nd Prize – Rs. 8,001/-, 3rd to 5th Prize – Rs. 5,001/-
10 KM run for
Women (Open):
1st Prize – Rs. 11,001/-, 2nd Prize – Rs. 8,001/-, 3rd to 5th Prize – Rs. 5,001/
Run for School Students
10 KM (for Boys) :
1st Prize – Rs. 5,001/-, 2nd Prize – Rs. 4,001/-, 3rd to 5th Prize – Rs. 3,001/-
Run for School Students
08 KM (for Girls) :
1st Prize – Rs. 5,001/-, 2nd Prize – Rs. 4,001/-, 3rd to 5th Prize – Rs. 3,001/-
Run for “SAFE DRIVE
SAVE LIFE”:
NO Prizes

Cut Off Timing :

Half Marathon for Men – 21.1 KM (Open) : 3 Hours.

10 KM Run for Women (Open) : 1 Hours 45 Minutes.

Run for School Students up to Class Xth – 10 KM (Boys) : 1 Hour 20 Minutes.

Run for School Students up to Class Xth – 08 KM (Girls) : 1 Hour.

Rules & Regulations :

I declare, confirm and agree as follows and I/my ward:

(I) the information given by me/my ward in this application form is true and me/my ward is/am solely responsible for the accuracy of this information; (ii) have fully understood the risk and responsibility of participating in the Asansol Marathon or any event outlined in this application (collectively “the event”) and will be participating entirely at my/his/her risk and responsibility; (iii) understand the risk of participating on a course with vehicular traffic, even if the course may be regulated/ policed; (iv) understand that l/my ward must be of, and must train to, an appropriate level of fitness to participate in such a physically demanding event and l/my ward have obtained a medical clearance from a registered medical practitioner, allowing me to participate in the event/s; (v) for myself/ourselves and our legal representatives, waive all claims of whatsoever nature against any and all Sponsors of the event, Asansol City, all political entities, authorities and officials, all contractors and construction firms working on or near the course, all Asansol Marathon Committee persons, officials and volunteers, and all other persons and entities associated with the event and the directors, employees, agents and representatives of all or any of the aforementioned including, but not limited to, any claims that might result from me/my ward participating in the event and whether on account of illness, injury, death or otherwise; (vi) agree that if I am/my ward is injured or taken ill or otherwise suffer/s any detriment whatsoever, I hereby irrevocably authorize the event officials and organizers to, at my/our risk and cost, transport me/my ward to a medical facility and/or to administer emergency medical treatment and l/my ward waive/s all claims that might result from such transport and/or treatment or delay or deficiency therein. I shall pay or reimburse to you my/my ward’s medical and emergency expenses and l/my ward hereby authorize/s you to incur the same; (vii) shall provide to race officials such medical data relating to me/my ward as they may request. I agree that nothing herein shall oblige the event officials or organizers or any other person to incur any expense or to provide any transport or treatment; (viii) in case of any illness or injury caused to me or my ward or death suffered by me or my ward due to any force majeure event including but not limited to fire, riots or other civil disturbances, earthquakes, storms, typhoons or any terrorist act, none of the sponsors of the event or any political entity or authorities and officials or any contractor or construction firms working on or near the course, or any of the Asansol Marathon Committee persons, officials or volunteers or any persons or entities associated with the event or the directors, employees, agents or representatives of all or any of the aforementioned shall be held liable by me/my ward or my/my ward’s representatives; (ix) understand, agree and irrevocably permit Asansol Marathon to share the information given by me/my ward in this application, with all/any entities associated with the Asansol Marathon, at its own discretion; (x) understand, agree and irrevocably permit Asansol Marathon to use my/my ward’s photograph which may be photographed on Race Day and/or during the Asansol Marathon Expo, for the sole purpose of promoting the Asansol Marathon, at its own discretion; (xi) shall not hold the organizers and all/any of the event sponsors responsible for loss of my/his/her application form and/or application fee in transit; (xii) I/my ward understand and agree to the event terms and guidelines. (XiiI) The decision of Technical Committee should be Final. Registration Free of Cost. Last date of submission of Form 10-12-2016.

Registration Form may be collected & deposited at nearby Police Station under Asansol Durgapur Police Commissionerate.