Enrolment Form for The Somme Marathon

Please send by post – you may pay in Euros on the day!
*Nom : |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| Prénom : |__|__|__|__|__|__|__|__|__|__|__|__|
Family name First Name
*Année de naissance : 19 |__|__| Sexe : H  F  Nationalité : ………………………………..
Date of birth Sex: M F Nationality
*Adresse : |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
Address
*Code Postal : |__|__|__|__|__| Ville : |__|__|__|__|__|__|__|__|__|__|__|__| Pays : |__|__|__|__|__|__|__|__|
Post code Town/ City Country
*Tél: |__|__|__|__|__|__|__|__|__|__| Mél: ______________________@ ____________________________
Tel : Email :
If you live in France and have a French sports licence for football, handball, aerobics etc……. you should tell us the Federation involved and the
number of your licence. This replaces a doctor’s certificate as you had to have a medical examination to obtain a licence.
Federation___________________________________ Licence No._____________________________
Race opted for :  Marathon ( 12€ )  Semi-marathon ( 8€ )  5 km ( 3€ )
NB. You must enrol for the full and half marathons by June 17th 2007.
It will not be possible to enrol for these races on the day.
HOWEVER PLEASE NOTE THAT , PARTICIPANTS FROM OVERSEAS WHO ENROL BY POST CAN
PAY IN EUROS ON THE DAY OF THE RACE.
I confirm that the information given here is exact and that I have read the terms and conditions of the
race and accept them.
NB: Runners who do not belong to a French Sports Club, and who are therefore without a French licence,
are required to show a relevant Doctor’s Certificate (from your local GP dated less than 1 year before
the race. This certificate must conform with Article No. 99-223 of March 23
)
rd 1999 indicating that you
are fit to run the distance you have opted for.
La course des 5 kms est autorisée aux personnes nées en 1992 et avant.
Those born after 1992 may not participate in the 5 km family race.
I confirm that I understand that this is a charity race and that
I can choose to fill in a sponsor form and donate money to
charity. I understand that I can gain information about these
charities by visiting the website:
www.somme-marathon.com

I WILL RUN FOR THIS
CHARITY:_____________________________________
(The list of our charities can be found on the sponsor form)
Fait à / Form completed in (name of town) _______________________________
Date ____/____/ 200_ Signature :
(Note that parents or legal guardians must sign for minors)
A expédier à / Post this form to: M. Alain FRANCOMME « Marathon du Pays du
Coquelicot » - 5 rue des oeillets - 80300 ALBERT, SOMME, France
English version updated 26th Oct. 2005 / PFK
The Somme Marathon - Le Marathon du Pays du Coquelicot

SPONSOR FORM
Runner
Name in full: ______________________________________________________
Address: ________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
TEL : ___________________________________________________________________________
Mobile: ________________________________________________________________
Email: __________________________________________________________________________
“ I have carefully looked at the list of charities that this race supports on the website and I wish to
donate my sponsor money to » -
circle your choice :
Autisme Picardie 80 / French Red Cross/
Amis des Secouristes sans Frontières / Save the Children
Landmine Action /Sightfirst/PolioPlus
Orphanage: Sao Paolo, Brazil
Race opted for: ____________________________________________________
Signed:_________________________________ Date : _________________________
Full Name of Sponsor
Contact Details of
Sponsor
Sum promised per km
(Or you may just promise a
sum for the race)
Sponsor’s signature

PLEASE NOTE that when you decide to promise your sponsor money to a French charity you will be asked
to send your money to the Marathon Association (AMPC), who will make out a large cheque to each French
charity concerned. This is because the Marathon Association is allowed to act as an intermediary under
French law.
However, should you wish to promise your sponsor money to a British charity then the procedure is slightly
different. You must write out a cheque to the charity concerned, send it to us and we will forward it to the
charity you have chosen. Under British law we cannot act as an intermediary.
If you decide to donate your money to the Brazilian orphanage you should group the monies together and
send us a cheque in sterling, or preferably Euros. We will arrange a bank transfer to Brazil.
The Somme Marathon in Poppy Country Doctor’s Stamp :
Le Marathon du Pays du Coquelicot
Full Marathon 42 KMS
Half Marathon (Semi) 21 KMS
5 KMS Race (Course)
MEDICAL CERTIFICATE
I, the undersigned Dr ____________________________,
have examined : ________________________________
and conclude that he / she is is not suffering from any
illness or debilitating condition that would prevent him /
her from running a distance of ______________* km to
complete the full marathon / half-marathon / 5kms
race**.
===============================
(Ayant examiné __________________________, je, soussigné(e) Dr
___________________________, confirme qu’ il / elle ne présente aucune contre -
indication apparente à la pratique de la course à pied, qui pourrait l’empêcher de courir une
distance de _____________* Kms pour compléter - le Marathon / le Semi-Marathon / La
course de 5 Kms**.)
==================================================================
• *- Please write the distance to be run
• ** - Please delete as appropriate
Doctor’s Signature & Address & Telephone Number:
_________________________________________________________________

Terms and Conditions
Article 1 : The 2nd marathon and half-marathon events are organised by the Association named A.M.P.C (Association du Marathon du Pays du
Coquelicot) under the aegis of the town of Albert, together with the regional Athletics Club AMAAC and in accordance with the rules laid down by
the French Athletics Federation.
Article 2 : Licenced and non licenced runners may take part. A runner’s age determines his/her category.
Checks will be carried out during the race to ensure that the event is running efficiently. Every runner who takes part does so by his/her own free will
and responsibility lies with him/her.
You may register for the race and thereby take part if you have either a French Sporting Licence (Football, Handball or other) otherwise you must
get a medical certificate from your local GP. This certificate must be issued less than a year before the event.
Article 3 : The Routes These have been measured by an official from the French Athletics Federation.
Article 4 : Schedule. The full marathon will start at 8h30 and the half marathon at 09.00 on the Avenue Robert Solente in front of the Lycée
Lamarck (6th Form College). The 5km race will start from the same place at 09.15. The finish line is also here.
Article 5 : Number bibs. Number bibs will be handed out at the Marie Curie Gymnasium near the starting line and opposite the swimming pool
from 07.30 onwards on the day of the race, or between 5pm and 7pm on the previous day. You are advised to come and collect them on the evening
before the race.
Article 6 : Amenities. Changing rooms will be used at the Pierre et Marie Curie Gymnasium. Upon completing the race full marathon runners can
proceed to the massage zone.
Article 7 : Time-keeping. Official time-keepers will be used for all three races.
Article 8 : Official Jury. The jury is made up of a referee, finish line judges and commissioners on the entire route. The jury is within its rights to
act accordingly if the marathon rules are not respected.
Article 9 : Refreshments. Stands will be set up offering drinking water and sponges along the routes in accordance with official guidelines.
Article 10 : Safety along the routes. The police (Gendarmerie), the Red Cross,the C.V.A.R and 90 signallers will take responsibility for the safety
of runners and spectators. Runners must respect the race routes. On the full marathon route there is a level crossing. Any runner who crosses the
track when the barriers are down will be disqualified.
Article 11 : Entertainment. Commentary on the race will be provided by a commentator at the finish line.
Article 12 : Lottery Prizes. The drawing of number bibs from a hat for a selection of prizes will take place the Marathon Village.
Article 13 : Time Limit. The full marathon does have a time limit. Runners have up to five and a half hours to complete the race. After this time has
elapsed, any runner on the route will be made to stop.
Article 14 : Medal Positions. These will be available as runners complete the race and will be updated by the finish line. They will also be available
on our website (www.somme-marathon.com).
Article 15 : Trophy and Prize-giving. When number bibs are handed in each runner will receive a gift package. The first three runners to cross the
line in each race will be awarded with a Cup. Cash prizes will be paid by cheque in the runner’s name.
Article 16 : We are not in a position to invite top athletes to this race at our expense. We will not cover transport or accommodation costs for those
wishing to take part. This is a charity race.
Article 17 : Enrolment. Runners with a French Sports Licence must write the number on their enrolment form in the appropriate place. Other
participants must conform to Law n° 99-223, relating to health and safety and the fight against the use of performance-enhancing drugs. They must
also provide a doctor’s note from their local GP that declares them fit to run this type of race. The doctor’s note must not be more than one year old
on the day of the race.
Article 18 : Litigation. The Director of the Marathon will deal with any legal matter that arises.
Exceptional Article: The Somme Marathon is a charity race and runners are encouraged to use our sponsor form to collect money for one of our
charities. Each runner should collect a medal after crossing the finish line. This then allows the runner to proceed with collecting sponsor money
from friends, family etc… .