EXTRAMILEENDURATHON.COM
APPLICATION FORM
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Choice of City
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Picture (jpg) |
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First Name* |
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Last Name* |
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Nationality |
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Birth Day
[minimum age:
18 years]
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Your eMail* |
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Your Cell Phone* |
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City you live in |
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Your Occupation |
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Languages you speak
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English |
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German |
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Spanish |
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French |
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Portugese |
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Japanese |
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any other language: |
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Why I think I can win the ExtraMileEndurathon
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I will arrange to have free time available for (an estimated maximum of)
10 days nonstop,
24 hours a day participating in the EtraMileEndurathon.com
and talking to members of the press.
My support staff: minimum 1 person at any time for personal support and help: |
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Number of support people* |
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Names of support staff* |
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eMail
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Cell phone nr.
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Medical Conditions |
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I am healthy with no medical treatment at this time
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GlobalGamesGroup, LLC hereby confirms privacy on all given personal data
within this application, only used for the selection of all participants and
the actual events.
Choice of competitors is determined by producers
of GlobalGamesGroup, LLC. |
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Security question*  = ? |
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| EXTRAMILEENDURATHON.COM |
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