Walk/Run/Cycle for Justice

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Team name   First name   Last name   Email address   Age on event date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 Gender -- Male Female other   Phone #   City   Country   Distance Choose one 5km walk and Run - K260 Cycling 10km - K260   Enter race time as HH:MM:SS

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Please review the waiver provided by the event organizer and click the check box below to accept it. Print waiver I, the undersigned hereby accept the race organizers, race sponsors and Undikumbukire Project Zambia are not liable for any loss, damage, claim, injury (including fatal) or expense that may arise as a consequence of my participation in the Virtual Undikumbukire Race. I declare that I am in good health and fit to take part in race and do so at my own risk. I shall abide by the rules of the organizers. I shall cycle with care, attention and abide by all rules of the road. I grant permission to all the foregoing to use photographs, motion pictures, recordings or any other record of my participation in the Race for legitimate purposes at any time. I accept the terms of the waiver Name of parent or guardian who approves this activity