Scorton Feast Memorial 10K

Scorton Feast Memorial 10K
Sunday 16th August 2015 11.00am
Under UK Athletics Rules – Licence applied
for
The race is approximately 10K
Entry Fees: £10 Unattached £8 Attached
Prizes to be awarded after race
Proceeds to be split between Target Ovarian Cancer (Charity No: 1125038) and Herriot
Hospice Homecare (Charity No: 1151298)
First Name: ……………………….
Surname: …………………………….
Address: …………………………………………………………………………..
………………………………………………Postcode: ……………………….
Telephone:………………………………………………………………………….
Date of Birth: ………………………..Age on Race day: …………….. Sex: M/F
Attached: Y/N
UK Athletics Registration No: …………………………….
Competitors must be aged 18 or over. In the opinion of the organiser, the nature of the course
makes this race unsuitable for wheel chair athletes. No audio devices allowed – entrants will be
disqualified from race if running with devices such as IPods’ or MP3 players
Declaration: I hereby declare that I am an amateur as defined by the UK Athletics and agree to
abide by their rules. I confirm that I am medically fit to compete, and understand that the
organisers of this event will not be held liable for any injury, loss or illness, however occasioned,
resulting from this event. I understand that my details will be stored on the entry computer, but will
not be distributed to any other organisation. Please see other Terms and Conditions on the
website.
Signature: ………………………………….. Date: ……………………
Entries to be sent to: Race Secretary, 44 Rowan Court, Catterick Village. DL10 7RS
Cheques to be made payable to ‘Scorton Feast Memorial 10K’
Contact: [email protected] or Tel: 07756493728