December 8, 2024
Half Marathon, 10K & 5K Races

Event Test Form

Registration Date Name Middle Initial/s Email Phone Number Sex What Distance do you intend to run? Type of Entry Race Date Are you a part of a team? Team Name/Affiliation Team Captain Name Team Captain Phone Number Team Captain Email Consent Team Captain’s Signature Waiver and Release Ind Count T-shirt Size Date of Birth Age on Race Day Date of Birth Age on Race Day Date of Birth Age on Race Day Date of Birth Age on Race Day Mailing Address Emergency Contact Full Name Emergency Contact Phone Number Emergency Contact Relationship Medical Condition Registration Date Consent Signature Waiver and Release Name of School Name of Coach Email Contact Number Registration Date Consent Coach’s Signature Waiver and Release Post ID Payment Status Quantity Calc Virtual Run 10k Marathon Half Marathon High School 10k Total Entry creation date Entry updated date Entry ID Entry key Post ID Entry status
Tricia Shay GRAY FRANKLYN [email protected] (876) 383-3717 Female Order – January 31, 2024 @ 01:58 PM December 8, 2024 No 1 M [534] [535] October 12, 1970 55 21 Connolley Avenue
Cross roads, St. Andrew 00004
Jamaica
Anicee Gray-brown (876) 383-2525 Sibling

Old age

January 31, 2024 I am 18 or older at the time of form submission. Tricia Shay Gray Franklyn I have read and agree to the Waiver and Release. 31863 34817 1 [998] Price $7,000.00 January 31, 2024 at 1:58 pm January 31, 2024 at 1:58 pm 1623 b8a5w 34816 0
Breya Kerr Thompson K [email protected] (876) 430-1285 Female Order – February 21, 2024 @ 01:06 PM December 8, 2024 No 1 L [534] [535] August 5, 1999 26 21 Windsor Avenue

Kingston, Kings 00000
Jamaica
Owen Kerr Thompson (876) 510-5034 Father February 21, 2024 I am 18 or older at the time of form submission. Bkkt I have read and agree to the Waiver and Release. 34750 34862 1 [998] $5,000.00 February 21, 2024 at 1:06 pm February 21, 2024 at 1:06 pm 1624 wesa2 34860 0
BARBARA Kerr Thompson E [email protected] (876) 582-0936 Female Order – February 21, 2024 @ 01:09 PM December 8, 2024 No 1 M [534] [535] March 25, 1966 59 21 WINDSOR Avenue

Kingston, Kingston 00000
Jamaica
Pauline Porter (876) 475-6180 Sister February 21, 2024 I am 18 or older at the time of form submission. Bekt I have read and agree to the Waiver and Release. 34750 34862 1 [998] $5,000.00 February 21, 2024 at 1:09 pm February 21, 2024 at 1:09 pm 1625 hdozm 34861 0
March 1, 2024 Order – March 1, 2024 @ 09:30 PM December 8, 2024 AART PANDAKKARA RAGHUPATHY (876) 470-0018 [email protected] I, the team captain, confirm that the members of this team are over 18 years of age and that consent was given for any member under 18 years of age to participate in this event. raghu I have read and agree to the Waiver and Release. [534] [535] 31862 34872 2 Price [998] $6,000.00 March 1, 2024 at 9:30 pm March 1, 2024 at 9:30 pm 1628 ntnzb 34871 0
piyush samtani [email protected] (876) 801-4774 Male Order – March 3, 2024 @ 10:57 AM December 8, 2024 No 1 M [534] [535] February 25, 1983 42 HERMITAGE ROAD, WEST END
NEGRIL, WESTMORELAND 00000
Jamaica
raghu roy (876) 470-0018 FRIEND March 3, 2024 I am 18 or older at the time of form submission. piyush I have read and agree to the Waiver and Release. 31862 34874 1 Price [998] $6,000.00 March 3, 2024 at 10:57 am March 3, 2024 at 10:57 am 1629 x0zja 34873 0
Shemeka Wright L [email protected] (803) 556-5749 Female Order – March 6, 2024 @ 08:09 PM December 8, 2024 No 1 S [534] [535] September 11, 1979 46 27 Club Ridge Ct
NA
Elgin, NA 29045
United States
Keila Cornelius (803) 665-9462 Cousin March 6, 2024 I am 18 or older at the time of form submission. Shemeka Wright I have read and agree to the Waiver and Release. 31862 1 Price [998] $6,000.00 March 6, 2024 at 8:09 pm March 6, 2024 at 8:09 pm 1630 8sfvv 34875 0
Shemeka Wright L [email protected] (803) 556-5749 Female Order – March 9, 2024 @ 08:46 PM December 8, 2024 No 1 S [534] [535] September 11, 1979 46 27 Club Ridge Ct
Elgin, SC 29045
United States
Petal Leate (301) 356-1979 Friend March 9, 2024 I am 18 or older at the time of form submission. Shemeka Wright I have read and agree to the Waiver and Release. 31862 34877 1 Price [998] $6,000.00 March 9, 2024 at 8:46 pm March 9, 2024 at 8:46 pm 1631 q94vq 34876 0
Petal Leate P [email protected] (301) 356-1979 Female Order – March 9, 2024 @ 09:00 PM December 8, 2024 No 1 M [534] [535] August 31, 1974 51 5617 Skimmer Drive
Apollo Beach, FL 33672
United States
Shemeka Wright (803) 556-5749 Friend March 9, 2024 I am 18 or older at the time of form submission. Petal Powell I have read and agree to the Waiver and Release. 31862 34879 1 Price [998] $6,000.00 March 9, 2024 at 9:00 pm March 9, 2024 at 9:00 pm 1632 acfqm 34878 0
Twyla Perkins [email protected] (803) 477-8894 Female Order – March 9, 2024 @ 09:19 PM December 8, 2024 No 1 M [534] [535] November 24, 1970 55 130 backspin dr
Elgin, SC 29045
United States
Shemeka Wright (803) 556-5749 Friend March 9, 2024 I am 18 or older at the time of form submission. Twyla Perkins I have read and agree to the Waiver and Release. 31862 34881 1 Price [998] $6,000.00 March 9, 2024 at 9:19 pm March 9, 2024 at 9:19 pm 1633 6kp5j 34880 0
Taneil Benjamin R [email protected] (876) 350-0227 Female Order – April 5, 2024 @ 04:05 AM December 8, 2024 No 1 L [534] [535] May 14, 1980 45 33 Benson Ave
Kingston, St Andrew 00000
Jamaica
Zena Walker (876) 395-4838 Aunt

Na

April 5, 2024 I am 18 or older at the time of form submission. Taneilb I have read and agree to the Waiver and Release. 31863 34926 1 [998] Price $7,000.00 April 5, 2024 at 4:05 am April 5, 2024 at 4:05 am 1634 7p9nx 34925 0
Edmond McDonald W [email protected] (876) 401-2747 Male Order – April 15, 2024 @ 09:00 PM December 8, 2024 No 1 XL [534] [535] September 30, 1965 60 Lancewood Exchange
Ocho Rios, St.Ann 00000
Jamaica
Kelia-jay Brown (876) 353-5374 Other April 15, 2024 I am 18 or older at the time of form submission. EWM I have read and agree to the Waiver and Release. 31862 34931 1 Price [998] $6,000.00 April 15, 2024 at 9:00 pm April 15, 2024 at 9:00 pm 1635 7mowm 34930 0
Kelia-jay Brown E [email protected] (876) 353-5374 Female Order – April 15, 2024 @ 09:09 PM December 8, 2024 No 1 XS [534] [535] April 6, 1994 31 Lancewood Exchange
Ocho Rios, St.Ann 00000
Jamaica
Edmond McDonald (876) 401-2747 Other April 15, 2024 I am 18 or older at the time of form submission. K.Brown I have read and agree to the Waiver and Release. 31862 34933 1 Price [998] $6,000.00 April 15, 2024 at 9:09 pm April 15, 2024 at 9:09 pm 1636 qfg9k 34932 0
Shamoy Bennett J [email protected] (876) 304-6888 Female Order – April 20, 2024 @ 05:43 AM December 8, 2024 No 1 M [534] [535] May 16, 1997 28 Orange Bay , Wharf Rd
Santoy P.A
Lucea, Hanover 00000
Jamaica
Jermaine Vascianna (876) 700-3605 Spouse

N/a

April 20, 2024 I am 18 or older at the time of form submission. Shamoybennett I have read and agree to the Waiver and Release. 34750 1 [998] $5,000.00 April 20, 2024 at 5:43 am April 20, 2024 at 5:43 am 1637 80kkn 34940 0
Asia Williams N [email protected] (876) 425-1870 Female Order – April 20, 2024 @ 10:07 PM December 8, 2024 No 1 S [534] [535] June 4, 1991 34 5 covington close
Waterloo road
Kingston, Kingston 10
Jamaica
Yentyl Williams (797) 407-8388 Dad

None

April 20, 2024 I am 18 or older at the time of form submission. Awilliams I have read and agree to the Waiver and Release. 31863 34942 1 [998] Price $7,000.00 April 20, 2024 at 10:07 pm April 20, 2024 at 10:07 pm 1638 14yu5 34941 0
Michaela Henry A [email protected] (876) 452-1375 Female Order – May 5, 2024 @ 01:44 PM December 8, 2024 No 1 S [534] [535] January 6, 2006 19 Time and Patience Linstead
P.o. St.Catherine
Linstead, St.Catherine 00000
Jamaica
Denroy Henry (876) 835-2506 Father May 5, 2024 I am 18 or older at the time of form submission. M.Henry I have read and agree to the Waiver and Release. 31863 1 [998] Price $7,000.00 May 5, 2024 at 1:44 pm May 5, 2024 at 1:44 pm 1639 er8j5 34963 0
Pamella tomlinson o [email protected] (404) 245-4171 Female Order – May 6, 2024 @ 05:06 PM December 8, 2024 No 1 L [534] [535] May 23, 1952 73 220 Renaissance Pky NE
unit 1116
atlanta, Atlanta 30308-2352
United States
Christopher Tomlinson (678) 362-5697 Son May 6, 2024 I am 18 or older at the time of form submission. p.o. tomlinson I have read and agree to the Waiver and Release. 34750 34966 1 [998] $5,000.00 May 6, 2024 at 5:06 pm May 6, 2024 at 5:06 pm 1640 rujp5 34964 0
Christopher tomlinson j [email protected] (678) 362-5697 Male Order – May 6, 2024 @ 05:12 PM December 8, 2024 No 1 M [534] [535] September 18, 1992 33 220 renaissance pky ne
unit 1116
atlanta, georgia 30308-2352
United States
pamella tomlinson (404) 245-4171 parent May 6, 2024 I am 18 or older at the time of form submission. cj tomlinson I have read and agree to the Waiver and Release. 34750 34966 1 [998] $5,000.00 May 6, 2024 at 5:12 pm May 6, 2024 at 5:12 pm 1641 lxt6j 34965 0
Kaydene Levy E [email protected] (876) 465-7403 Female Order – May 31, 2024 @ 04:07 PM December 8, 2024 No 1 S [534] [535] June 10, 1976 49 11 GREENVALE ROAD
MANDEVILLE, Manchester 00000
Jamaica
Adrian Levy (876) 383-5263 HUSBAND

NOne

May 31, 2024 I am 18 or older at the time of form submission. Kaydene Levy I have read and agree to the Waiver and Release. 31863 34996 1 [998] Price $7,000.00 May 31, 2024 at 4:07 pm May 31, 2024 at 4:07 pm 1642 9uqe4 34995 0
Lina Baquero fierro m [email protected] (571) 420-8832 Female Order – May 31, 2024 @ 07:16 PM December 8, 2024 No 1 S [534] [535] May 1, 1992 33 142 old hope road
kingston, st. Andrew 6
Jamaica
Andrew kovtun (876) 420-1004 husband

n/a

May 31, 2024 I am 18 or older at the time of form submission. Lina Baquero fierro I have read and agree to the Waiver and Release. 31863 34999 1 [998] Price $7,000.00 May 31, 2024 at 7:16 pm May 31, 2024 at 7:16 pm 1643 5eop6 34997 0
Andrew kovtun a [email protected] (876) 420-1004 Male Order – May 31, 2024 @ 07:19 PM December 8, 2024 No 1 M [534] [535] June 22, 1993 32 142 old hope road
kingston, st. Andrew 6
Jamaica
lina baquero fierro (571) 420-8832 wife

n/a

May 31, 2024 I am 18 or older at the time of form submission. andrew kovtun I have read and agree to the Waiver and Release. 31862 34999 1 Price [998] $6,000.00 May 31, 2024 at 7:19 pm May 31, 2024 at 7:19 pm 1644 dk3op 34998 0
Mariah alejandra mosquera Medrano [email protected] (876) 496-0807 Female Order – June 1, 2024 @ 11:48 AM December 8, 2024 No 1 M [534] [535] July 22, 1999 26 2 Hillary Avenue. Kingston 10
apt. 1
kingston, st. Andrew JMAKN02
Jamaica
angela medrano (876) 573-5235 mother June 1, 2024 I am 18 or older at the time of form submission. mariah a.m. I have read and agree to the Waiver and Release. 31862 35001 1 Price [998] $6,000.00 June 1, 2024 at 11:48 am June 1, 2024 at 11:48 am 1645 g5xai 35000 0
Leishawn Greenland M [email protected] (876) 543-4231 Male Order – June 25, 2024 @ 07:11 PM December 8, 2024 No 1 M [534] [535] March 7, 2000 25 14A Brunswick Street
Spanish Town, Saint catherine 00000
Jamaica
Grace Greenland (876) 482-5324 Mother

N/a

June 25, 2024 I am 18 or older at the time of form submission. L.g I have read and agree to the Waiver and Release. 31863 35033 1 [998] Price $7,000.00 June 25, 2024 at 7:11 pm June 25, 2024 at 7:11 pm 1646 ru7ts 35032 0
Kay Martinek [email protected] (954) 401-2313 Female Order – July 7, 2024 @ 10:04 PM December 8, 2024 Yes Hilevel travel one love runners Tonya Gabriel (195) 454-9874 [email protected] 1 S [534] [535] May 27, 1965 60 3310 SW 194 Terrace
Miramar, Fl 33029
United States
Jakub Martinek (754) 244-5161 Husband July 7, 2024 I am 18 or older at the time of form submission. Kaymartinek I have read and agree to the Waiver and Release. 31863 35048 1 [998] Price $7,000.00 July 7, 2024 at 10:04 pm July 7, 2024 at 10:04 pm 1647 pukvk 35047 0
Diane Ellis C [email protected] (876) 999-4019 Female Order – July 12, 2024 @ 04:23 PM December 8, 2024 No 1 M [534] [535] December 8, 2000 25 87-89 tOWER sTREET
kINGSTON, KINGSTON 00000
Jamaica
ALFRED FRANCIS (876) 967-4903 SPOUSE July 12, 2024 I am 18 or older at the time of form submission. DIANE c eLLIS I have read and agree to the Waiver and Release. 31862 1 Price [998] $6,000.00 July 12, 2024 at 4:23 pm July 12, 2024 at 4:23 pm 1648 jcvrc 35049 0
o j [email protected] (999) 999-9999 Female Order – July 15, 2024 @ 01:36 PM December 8, 2024 No 1 M [534] [535] December 17, 1992 32 i
h
u, k 00000
Jamaica
k n (888) 888-8888 m July 15, 2024 I am 18 or older at the time of form submission. hjj I have read and agree to the Waiver and Release. 31862 1 Price [998] $6,000.00 July 15, 2024 at 1:36 pm July 15, 2024 at 1:36 pm 1649 9dun8 35054 0
p j [email protected] (888) 888-8888 Female Order – July 17, 2024 @ 01:05 PM December 8, 2024 No 1 M [534] [535] August 14, 1992 33 j
k, b 00000
Jamaica
k u (666) 666-6666 b July 17, 2024 I am 18 or older at the time of form submission. hhy I have read and agree to the Waiver and Release. 31862 1 Price [998] $6,000.00 July 17, 2024 at 1:05 pm July 17, 2024 at 1:05 pm 1650 tf7fo 35058 0

Export to CSV

instagram
facebook
twitter
youtube