AUTHORIZATION

for a third party to collect starter packages for the Vienna City Marathon / OMV Half Marathon / Relay Marathon 2016 I (participant) herewith authorize COLLECTOR’S NAME/SURNAME ___________________________________________________________

MOBILE PHONE NUMBER

COPY OF PHOTO ID _______________________________________________________________________

to collect up my starter package for the following 2016 event:

� Marathon � OMV Half Marathon � Relay Marathon

BIB NUMBER _____________________________________________________________________________

PARTICIPANT’S NAME/SURNAME __________________________________________________________

MOBILE PHONE NUMBER _________________________________________________________________

COPY OF PHOTO ID _______________________________________________________________________

I furthermore confirm with my signature that I will not pass on my bib number to any other athlete. I am aware of the fact that the bib number is the only document to identify a runner in case of emergency. I am aware of the fact that I might endanger another athlete in case of emergency by passing on my bib number and that this offensive behavior constitutes a violation of the authorization, which in turn can lead to liability.

______________________________ ______________________________________________________ Date Participant’s signature

COLLECTOR’S CONFIRMATION OF RECEIPT

I confirm with my signature that I will not pass on the BIB number I have collected for the participant identified above to a third person. I am aware of the fact that the BIB number is the only means of identification in case of emergency. I am aware of the fact that passing on the BIB number to another person can endanger another person in case of emergency, and that such an offensive behavior constitutes a transgression of the authorization and can lead to liability.

______________________________ _____________________________________________ Date Signature of the person collecting bib number on behalf of the runner