2014 SENSHU INTERNATIONAL CITY MARATHON

To apply, please email this form to christinejones23@xtra.co.nz or post to Wellington Sakai Association, PO Box 7215, Wellington 6242.
1. Full name 2. Date of birth 5. Address (must be a Wellington City resident) 3. Age 4. Gender Male Female

(Please also submit proof of address such as a copy of phone bill or power bill) Yes, I have attached proof of my address

6. Contact phone numbers: Home Mobile Work

7. Running club (if applicable) 8. Referee to comment on your training and fitness: Name Landline phone number

9. Your best two marathon times (full marathon, 42.195km): 1) When 2) When 10. Your most recent marathon time: 1) When 11. Running events completed this year 12. Are you prepared to talk to the media and interested groups about your trip when you return?
(The winners will also be required to write a report by 1 June 2014)

Where Where

Time hours Time hours

minutes minutes

Where

Time hours

minutes

Yes

No

13. On a separate sheet of paper please tell us why you think you are the right person to represent Wellington in the 2014 Senshu International City Marathon. (Limit 500 words) Yes, I have attached my essay
The winner must be in good health and provide a current medical certificate which includes electrocardiogram, chest x-ray and blood pressure.

RUN FOR WELLINGTON!

in the 2014 Senshu International City Marathon in Osaka, Japan on 16 February 2014
We are looking for a marathon runner to represent Wellington!

If you are: keen to be an ambassador for Wellington City able to contribute and participate in the Wellington Sakai Association after you return have completed marathons a regular runner, fit and in training able to run a mostly flat-course marathon in winter conditions in four hours or less a Wellington CIty resident 18 years or over.
Please apply by downloading the application form from Wellington City Councils website Wellington.govt.nz or Wellingtonsakai.org. Email to christinejones23@xtra.co.nz or post it to Wellington Sakai Association, PO Box 7215, Wellington 6242 by Friday 25 October. Shortlisted candidates will be interviewed and then the finalists will go into a draw to win. Listen to Newstalk ZBs All Sport Breakfast 79am, Saturday 9 November, when the Mayor of Wellington will announce the winner. Our successful representative will travel FREE to Japan, staying three nights in a hotel and three nights in a Japanese homestay. This wonderful opportunity comes from Wellingtons sister-city link with Sakai City, one of the host cities for the Senshu Marathon. For further details, contact Christine Jones on christinejones23@xtra.co.nz or call 386 3314.