Vale Of Pewsey Half Marathon Entry Form

Vale of Pewsey Half Marathon - 25th August 2008 (10:30pm)
Entry Form - Please complete in block capitals

Surname:
Forename(s):

Address:







Postcode:                  Telephone:

UKA Affiliated Club:

Age on Race Day (min 17yrs):           Date of Birth:

Male/Female:                  Email:



Entry Fee: £10 Affiliated     £12 Unattached      (£1 extra on day)
Cheques made payable to: Pewsey Vale Running Club

Declaration: I declare that I will abide by the laws and rules of the race. I will follow all instructions given by race officials. I am not under the race minimum age (17) to compete in this event. I accept that the organisers will not be liable for any loss, damage, action, claim, costs or expenses which may arise as a consequence of my participation in this event. I declare that I will not compete in this race unless I am in good health on the day of the race and that in any case I will only compete at my own risk.

Signed: ________________________________________________

Date:____________________________

Please send completed form and cheque to Race Secretary:
Richard Pearce, The Old Orchard, Rudge Lane, Oare, Marlborough, Wilts SN8 4JH (Phone 01672 562412).

Include 9x4 self-addressed stamped envelope.

Entries after 18th August 2008 to collect Race Number on the day.