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Agbokim Falls Green Marathon Registration 2025
Personal Information
First Name
Last Name
Gender
Age
Nationality
State of Origin
LGA
Date of Birth
Contact Information
Email Address
Phone Number
Address
Emergency Contact
Next of Kin
Emergency Contact
Marathon Information
Category
Body Statistics
Long Distance Race History

Category of Participation

Additional Information
Contact Address
Signature of Athlete / Date

Terms of Agreement

Participating in the Agbokim Falls Green Marathon can be a serious threat to the health of individuals who are not in excellent physical condition. In consideration of my participation in the Agbokim Falls Green Marathon, I, myself, my executors, administrators, heirs, and assignees do hereby release and discharge the Agbokim Falls Green Marathon committee and all sponsors, agencies, subsidiaries, affiliates, and beneficiaries jointly and severally and hold and waive harmless from any and all actions, claims, injuries, incapacitations, death, demands, liabilities, loss, damage or expenses of whatever kind or nature, including but not limited to attorney fees, which may be incurred by reason of participation in or preparation for said event.

I attest and verify that I have full knowledge of the risks involved and that I am physically fit and sufficiently trained to participate. I grant full permission for the use of my likeness, including photographs and videos, for publicity and advertising purposes without compensation.

Form Submission Deadline: Saturday, 15th November, 2025

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