UNIVERSAL RACE ENTRY FORM

After completing the form, on screen, print it by clicking the 'Print Form' button below, sign it and then send the completed form direct to the RACE ORGANISER

SURNAME ADDRESS
FIRST NAME
DATE OF BIRTH //19 (dd/mm/yy)
AGE ON RACE DAY
GENDER POSTCODE
AFFILIATED CLUB CONTACT No.
RACE ENTERED FAX No.
BEST TIME hr min sec E-MAIL
WHERE ACHIEVED TEAM NAME

AGE LIMITS
Competitors must be 18 to run a marathon, 17 for a half-marathon and 16 for a 10 mile race.		 DECLARATION
A signed entry form will be considered as an acceptance of governing body rules and a declaration that you will compete on foot and run entirely at your own risk. No dogs or following cycles.

Signature: _ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ _ _ _(Parent/Guardian if under 18) Date:

I enclose a large SAE and a cheque [check race listings for payee details] to the value of £

Data protection. If you do not wish any details to be passed on to a third party, including other running related organisations such as the race photographer. Check this box
If you have a medical condition that you wish to advise the race organisers of, check this box and list overleaf.		 FOR OFFICIAL USE ONLY
Race No.

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