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Universal Entry Form

Promenade 5k Road Race

Wednesday 7th 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)
5Km 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: Entry Form on website or email for entry Form. Cheques payable to Athletic Events. Enter on line at www.runnersworld.co.uk
Entry Fee: £4 Affiliated £6 Unattached Series £10 Affiliated £16 Unattached
Notes: Entries on the night. Other 5k races on 2th July and 6th August

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