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Universal Entry Form

Blackpool Air Show 10k

Sunday 13th August 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)
10Km 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: Enter online with RaceBest.com Cheques made payable to 'Dave Waywell' - send entry to 10k Race Organiser, 114 Ashfield Road, Blackpool, FY2 0EN
Entry Fee: 6.00 (Afflilated) 8.00 (Unaffiliated)
Notes: Postal entries close 6/8/2017 on-line numbers pick up on the day at race HQ, Bispham Fire Station, Red Bank Road, Blackpool, FY2 9EA

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