Online Race Entry Form

Fees: 10k affiliated: 10.00 | 10k unaffiliated: 12.00 | Fun Run: 3.00
All major UK Credit/Debit/Switch cards are acceptable.

Step 1. Your Details  -  Step 2. Race Confirmation   -  Step 3. Payment   - Step 4. Confirm & Email Receipt
 
Step 1. Your Details
Please carefully fill in the form below and click Submit Form! (Fields marked with * must be completed.)

Step 1. Your Details
Race* 10km      Fun Run
Click either the 10km or Fun Run button.
First Name*
Surname*
Address*
Address
Town/City
County
Post Code*
Home Phone
Mobile Phone
Email*
Enter a valid email address e.g. another@abc.co.uk
Sex* Male   Female
Click either the Male or Female button.
Date of Birth*
Enter your Date Of Birth as dd/mm/yyyy eg 08/03/1979
(Age Group is calculated using your age on race day)
Affiliated to a UK Athletics club* yes      no
Click either the yes or no button.
Affiliated Club
Or if its not found in the list you can enter it here:
Enter your Affiliated Club if you have one
UKA Affiliated Registration Number: if known?
Declaration* I understand that I take part in the race entirely at my own risk and that the organisers shall not be held responsible for any accident, injury, loss or damage resulting from my participation. I am over 15 years of age on 21/07/13 for the 10 km. I will keep to the left hand side of the road unless informed to the contrary by an official. Failure to do so could lead to disqualification.
Please click box to agrea with Declaration
E-Newsletter Please click box if you would like your email to be added to the clubs monthly E-Newsletter list.




Privacy:
The information we collect is used for administrative purposes.

  • Your date-of-birth will not be displayed on the site, but is required to categorise age groups for results.
  • Your email address will not be shared with any other organizations, but may be used for race updates and club E-newsletters.

    • HOME| CONTACTS| SITE MAINTAINED BY:John Roberts |DESIGNED BY Ian Marshall 2004 |PRIVACY POLICY
    Any views expressed in discussion forums and members profiles present the opinions of the author,
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