EVENT ENTERED ........................................................................................................................
SURNAME ......................................................... FIRST NAME ..................................................
SEX M / F AGE ON RACE DAY ............................ D.O.B. / /
ADDRESS .......................................................................................................................................
...........................................................................................................................................................
TOWN ...............................................................................................................................................
COUNTY ................................................................ POST CODE ..................................................
TEL (day) ........................................................... (eve) ....................................................................
CLUB ......................................................................... TEAM NAME ............................................
Best time for chosen event ............................................. Where Acheved ....................................
For UK:A permit events competitors must a minimum of 15 years of age to run a 10Km race, 16 years of age to run a 10M race, 17 years of age to run a ½ Marathon and 18 years of age to run a full marathon. All other age limits apply.
A signed entry form will be considered as you accepting UK:A Rules and as declaration that you will not hold the organisers or their servants liable for any injury, loss, or action claim whatsoever resulting from your participation in this event.
I enclose the correct entry fee for the event (cheque made payable to the chosen event) and a large SAE (C5 min) for any documents to be returned to me.
Signed ................................................................ Date .............................................................