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Universal Entry Form

Richmond 10K

Sunday 19th November 2017
Surname:Postal Address:
Firstname: 
Date of Birth: 
Age on Race Day: 
Gender:MaleFemalePostcode:
Affiliated Club Name:Telephone:
Registration Number:Fax:
Entry Selection: (tick as appropriate)
10Km road race
Email Address:

Age Limits
Competitors must be aged at least:
18 years for a marathon
17 years for a half marathon
16 years 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 compete entirely at your own risk.

Signed:
 
Date:
 

Entry Instructions Provided by Organiser: Online - www.runuk.co.uk/events/
Entry Fee: 20 affiliated 22 un-affilaited ( 35 on the day)
Notes: Medals to all finshers, goodie bags, fruit, water, KM markings throughout, massages, refreshments,In association with Shooting star Childrens Hospice Charity. so book through our website to avoid disappointment and remember to bring the family

For Official Use Only
 
 
 
 
Remember to enclose a large SAE. Please do NOT make cheques payable to Running Diary. Either follow the organiser's instructions provided in the "Entry Instructions" section above, or alternatively leave the payee blank for the organiser to complete.
Please add any further information which may be of use to the event organiser on the back of this sheet.
 
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, tick this box