Night Run Registration | Run4Crossroads

Please note, the Night Run has been delayed because of bad weather – It is now January 9th, 2020

CROSSROADS – JANGLO CHANUKA NIGHTRUN – 5K

AT THE FIRST STATION IN JERUSALEM

JANUARY 9TH 2020

5:30 PM – Run registration

6:15 PM – Warm Up

6:45 PM-Night Run Starts

Name*
First Last
T.Z./Passport Number*
Cell/Home phone*
Email*
Address*
Street Address Address Line 2 City
Which race will you be running in?*
Shirt Size*
Emergency Contact
Emergency Name*
Emergency Number*
Declaration
I hereby declare that I am healthy and fit to participate in the race. That I have suitably trained, and my physical condition has been examined and confirmed by a certified physician.
I hereby forgo any claims of responsibility towards Amutat Tzomet (Crossroads),Janglo, Saucony or the First Station, regarding any injury I may incur, including physical injuries before, during, or after the race, and including any property damages, and/or loss of personal equipment I may incur. I, the undersigned, declare that I will not pursue any claim for compensatory damages against the above mentioned parties
Confirmation*
- Please check this box to confirm the above
Please fill out below if you are under 18
Parental Approval
- For participants aged 18 and under
I, the undersigned, do hereby allow my son/daughter to participate in the Night Run and Jerusalem Marathon races
Payment
Coupon
Registration Cost
Price: ₪ 50.00
Please consider being a night run sponsor by sponsoring one of the following services at Crossroads
Other Donation
Payment Via Paypal
₪ 0.00
CAPTCHA

For payment with a credit card on a mobile device, click on “create an account” and you will be given the option to pay with a credit card. For more information or to ask any questions regarding the Night Run or the Jerusalem Marathon, please call Gavi Lankin at 02 624 6265 or email marathon@crossroadsjerusalem.org

Emergency Contact

Declaration

Please fill out below if you are under 18

Payment