www.runningdiary.co.uk ...to find your next race	Universal Entry Form Duckponds 7k and 3k Fun Run Saturday 9th July 2011
Surname:	Postal Address:
Firstname:
Date of Birth:
Age on Race Day:
Gender:MaleFemale	Postcode:
Affiliated Club Name:	Telephone:
Registration Number:	Fax:
Entry Selection: (tick as appropriate) 7Km multi terrain    3Km 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: By post and EOD. Entry form on website,

Entry Fee: £9 UKA, £11 unaffiliated. £1 extra on the day

Notes: 3k Fun Run 5:15pm, Duckponds 6pm. Please use nearby Morrisons car park. 800m walk

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