Athlete Registration

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Race: Jerusalem Marathon 2018

Personal Information

*Email
*First Name
*Last Name
*Mobile Phone
Home Phone
*Sex
*Date of Birth
Identification Document
Document No.
*Country
Fax
Website

Contact Information

*Mailing Address
Please be sure to use the address which appears on your credit card.
*City
*State/Province
If not applicable, select the "non-USA/Canada" option.
*Country
Zip/Postal Code
*Mailing Address in Israel
*City
Mikud (Israeli Postal Code)
*Emergency Contact Person
*Relationship to Athlete
*Emergency Contact Phone
Emergency Contact Email

Registration Information

*Currency
*Password
*Confirm Password
*T-shirt Size
Any medical issues to declare?
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