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Universal Entry Form

Shady Oak Tough 10k

Wednesday 14th May 2008
Surname:Postal Address:
Firstname: 
Date of Birth: 
Age on Race Day: 
Gender:MaleFemalePostcode:
Affiliated Club: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: A5 SEA to Shady Oak Tough 10k, 58 North Way, Hyde, Cheshire, SK14 1RU, Cheques: Goyt Valley Striders (Entry forms available from web site)
Entry Fee: £4 att, £6Unatt, (please enclose 9x6 S.A.E.) on the night Entry +£1
Notes: Memento to all finishers. A scenic and testing hilly single lap course on quiet country lanes.

For Official Use Only
 
 
 
 
Remember to enclose a large SAE. Please do NOT make cheques payable to Running Diary. Instead use either the event name or the information in the 'Entry Instructions', 'Entry Fee' or 'Notes' sections.
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