www.runningdiary.co.uk ...to find your next race	Universal Entry Form Thornborough 10 mile race and 5 mile fun run Monday 2nd May 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) 10 mile road race    5 mile 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 entry available for 10 mile race only. 5 mile race entry on the day only (£4).

Entry Fee: £4.00 for 5 mile, £6.00 Adults Under 18s £2.00, Under 5's £1.00

Notes: 10 mile and 5 mile are run simultaneously on quiet country lanes in beautiful countryside. Now in its 26th year, this is a very popular and well organised event. Normally about 250 runners with 40-50 running in the 10 mile race.

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