www.runningdiary.co.uk ...to find your next race	Universal Entry Form Moors Valley 10k Run Sunday 11th May 2008
Surname:	Postal Address:
Firstname:
Date of Birth:
Age on Race Day:
Gender:MaleFemale	Postcode:
Affiliated Club:	Telephone:
Registration Number:	Fax:
Entry Selection: (tick as appropriate) 10Km multi terrain    4Km multi terrain	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: 21 Barnes Crescent Wimborne Dorset BH21 2AY . Cheques made payable to DYMB

Entry Fee: seniors £6.00 each £7.00 late entry or on the day Juniors 4.00 each 5.00 late entries or on the day

Notes: Entries after 5/5/08 can be collected on the day. Parking will be at current park prices.Junior run starts 10am. Senior run starts at 10.30am.

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