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Universal Entry Form

Summer Solstice 10k

Thursday 21st June 2018
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)
10000m 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: https://www.eventrac.co.uk/race-course-map/fareham-creek-10k-summer-solstice-10k-21-06-2018-05-00
Entry Fee: 12.00
Notes: This is a chip timed, all abilities race. Your race - Your pace, no cut off time. Free entries available for VI runners and their guides. Race Numbers to be collected on Saturday 18th June, 9am - 1pm, from AFC Portchester, Cranleigh Road, Portchester.

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