The “AETHLIOS” International Long-Distance Running Association

NEMEA-OLYMPIA Olympian Race”
23-24 th May, 2008

ATHLETE’S ENTRY FORM (Photocopy is accepted)
Organization only
Race number :
ACCEPTATION :
Fees :

ATHLETE

Forename(s)……………………………Surname………………………………….
Nationality………………………….Sex……(M/F) Born in19…………………….
Home address………………..…………………..
Postal (Zip) code………………Town/City……………………Country……………………
Telephone(home/workplace)…………………………….Fax……………….E-mail…………

In the event of unforeseen circumstances whilst in Hellas, the following should be informed :
Mr/Mrs/Miss/Ms………………………….Relationship……………………………..
Telephone…………………………..Fax…..……………..…Other……………….

PERFORMANCE : What has been your best performance (100 km or greater) from 2004 until today (date of application)

NOTE : By signing this Form you undertake the following obligations:
If selected, participants in the “Olympian Race” agree to abide by the rules of the Race and be examined for use of prohibited substances (“doping”)

Signature of Applicant : ………………………………………….. Date : ………………………