independent witness statement

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.