Gt Bentley Running Club

On-Line Printable Entry Form

  

This is an On-Line Printable Entry Form.  It has been designed for the runners ease and our convenience to read runners hand writing (hopefully reducing misspellings in the race results).  Please follow the procedure below:

  1. Complete all the Entry Form fields below.

  2. Print this page off and sign and date where indicated.

  3. Send the Entry Form to the race organiser together with the appropriate fee.

  4. Enclose a large SAE & cheque made payable to Gt. Bentley Running Club

 

Entry Form GB 5 / GB 10*

Club Use only Race No:

                  

 * Delete whichever is not applicable

Sex
Surname Phone Number
First Name E-Mail Address
Address Date of Birth
Address 2 Age on Day
Town/City Affiliated Club
County
Post Code

 

Declaration. I am an amateur as defined by the B.A.F. and agree to abide by their rules. I understand that my details will be held on computer to assist in the administration of this event and maybe contacted about this and future Gt Bentley events. I also agree not to run with any prior knowledge of injury or illness. I accept that neither the sponsors, the organisers or their servants will become liable for any injury, loss or action claim (howsoever occasioned) resulting from this event.

 

Signed_______________________________                Date____________________

 

Print this form and send this, together with a large SAE and your entry fee of
£6.00, affiliated; £7.00 unaffiliated/unattached, £2.00 extra on the day - 10 mile
£5.00, affiliated; £6.00 unaffiliated/unattached, £2.00 extra on the day - 5mile
payable to "Gt. Bentley Running Club'' to:-
Gt. Bentley , 80 Kendall Road, Colchester, Essex, CO1 2BS.

Telephone Dean King on (01206 504468) should you have any problems.

 

Awaiting Certificate of Course Accuracy SEAA

under UKA rules.