RUNNERS REGISTRATION FORM

I am member of the Israeli athletic association

NO YES

Identification Number

Blood Type

Shirt Size

Is there any allergies?:

Occupation (optional):

The heat I register for:

24 Hours 12 Hours 100 Miles 100 km (does NOT constitute a Spartthlon criterion)

The criterion for running in SPARTANION I have achieved in

2018 2019 2020

I have achieved the following criterion that allow me to participate in either one of Spartanion 4 heats:

If female - running at least 130k in 24 hour; if male - running at least 144k If female - running 100M in less than 28:00 hours; if male - in less than 25:30 hours If female - running 100k in less than 13:15 hours; if male - in less than 12:00 hours

I have achieved the following criterion that allow me to participate in either one of 3 heats in Spartanion (12H, 100M and 100k):

If female running 100M- in less than 29:00 hours; if male - in less than 26:30 hours If female running 100k - in less than 14:15 hours; if male - in less than 13:00 hours

I have achieved the following criterion that allow me to participate in either one of 2 heats in Spartanion (12H and 100k):

If female - running 100k in less than 15:30 hours; if male - in less than 14:00 hours If female - running 90k in less than 12:00 hours; if male - in less than 13:15 hours If female - running 80k in less than 11:15 hours; if male - in less than 12:30 hours If female - running 60k in less than 9:00 hours; if male - in less than 8:00 hours If female - running 50k in less than 6:00 hours; if male - in less than 5:00 hours If female - running 50k in TÄNACH-TASHACH less than 7:00 hours; if male - in less than 6:00 hours If female - running Marathon in less than 4:00 hours; if male - in less than 3:30 hours

I'm asking to register with a course difficulty factor?(in case you don't have the criterion)

NO YES

This is the link to the race result or my run where I've achieved the above criterion:

OR - a file of my criterion:

We would like to know you a bit, please write a short running resume (optional)

Name and Family name of a relative

Telephone of the relative

Something you would like to say (optional)

I have read, understood and agree to Spartanion statute and all its rules, and to the mentioned in the health and waiver statement

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