INDEPENDENT WITNESS STATEMENT (Two independent witness statements are required.) NATIONAL GEOGRAPHIC KIDS Guinness World Record attempt Most People Running 100 Meters in 24 Hours, Claim 79766 I, , declare that I am not associated with, or re- print full name lated to, the record organizers or participants, nor have anything to gain from the final outcome of the attempt. There fore I have acted as a witness of the Guinness World Records attempt for the record. The 100-meter running event was held by at organization in venue . The course was 100 meters city, state, country on , measured by describe the course here . describe how the course was measured A total of time number people completed the course on October a.m. / p.m. and time date , 2012, between a.m. / p.m. local time. The participants were counted by describe the counting method here . All rules as stated on kids.nationalgeographic.com/run-for-the-planet/ were followed. ______________________________________________ PRINT WITNESS’ FULL NAME ______________________________________________ EMAIL ADDRESS (REQUIRED) ___________________________________________ WITNESS SIGNATURE __________________________________________ PHONE NUMBER (REQUIRED) ___________________________________________________________________________________ FULL ADDRESS (OPTIONAL) * Email addresses and phone numbers are for verification purposes only. They will not be used or collected for any other reason.
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