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Universal Entry Form

Summer Plod 21mile Trail Walk

Sunday 2nd July 2017
Surname:Postal Address:
Firstname: 
Date of Birth: 
Age on Race Day: 
Gender:MaleFemalePostcode:
Affiliated Club Name:Telephone:
Registration Number:Fax:
Entry Selection: (tick as appropriate)
21 mile cross country
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: Alan Shons, 108 Southdown Rd, Catherington , WATERLOOVILLE. PO8 0NF. Cheques payable to "Run Events"
Entry Fee: 19.00 attached 21.00 unattached
Notes: approx 21 miles of challenging beautiful Trails around the Meon Valley. There is a time limit of 8hrs . There will be 4 drinks stations with the last 3 providing food as well. Also food at the finish. GPX file available but course fully marked.

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