KAVERI TRAIL MARATHON 2013 – 10 K – 14th September

Payment Details (Please tick any one) Cheque or DD Cash Date ______

Rs.900 (10km category + Race + Timing Chip + brunch + for Premium Members)

Rs.1100 (10km category + Race + Timing Chip + brunch + for Non Premium Members)

Rs.550Transport (To & fr0 - from JDP Junction, M G road)

Rs 250 Transport (To & Fro - from Mysore palace, Jaya Vijaya gate near Chamaraja circle)

Rs.650Event Dri-fit T-shirt Size- S(38) M(40) L(42) XL(44)

Cancellations: For more info on cancellation please visit -

Last Date for submission and payment is 16th August 2013

Cheque/DD No : ______Name of Bank and Branch ______

Note: Cheque to be made payable to“TFL Continuous Learning Pvt. Ltd.” Completed form along with the cheque to be mailed to :

‘Runners for Life, Nr Everest Theatre, 124/1, 124/2 MM Road, Fraser Town, Bangalore - 560005

Disclaimer: Must be read and signed to allow entry for the event.
I declare, confirm and agree that I (i) have fully understood the risk and responsibility of participating in the Kaveri Trail Marathon and will be participating entirely at my risk and responsibility; (ii) understand the risk of participating on a course with vehicular traffic; (iii) understand that I must be of an appropriate fitness level to participate in such a physically demanding event and I have obtained a medical clearance from a registered medical practitioner, allowing me to participate in the event; (iv) for myself and my legal representatives, waive all claims of whatsoever nature against any and all Sponsors of the event, authorities and officials, all contractors and firms working on or near the course, all Kaveri Trail Marathon Committee persons, officials and volunteers, TFL Continuous Learning Pvt. Ltd. and all other persons and entities associated with the event and the directors, employees, agents and representatives of all or any of the aforementioned including, but not limited to, any claims that might result from me participating in the event and whether on account of illness, injury, death or otherwise; (v) agree that if I am injured or taken ill or otherwise suffer any detriment whatsoever, I hereby irrevocably authorize the event officials and organizers to, at my risk and cost, transport me to a medical facility and/or to administer emergency medical treatment and I waive all claims that might result from such transport and/or treatment or delay or deficiency therein. I shall pay or reimburse to you my medical and emergency expenses and I hereby authorize you to incur the same; (vi) shall provide to race officials such medical data relating to me as they may request. I agree that nothing herein shall oblige the event officials or organizers or any other person to incur any expense or to provide any transport or treatment.
I hereby agree to the above conditions before participating in the Kaveri Trail Marathon.
Signature of the participant ______Date ______