Entry Form 2.indd - Carver Wolverhampton Marathon Events 2016

CHARITIES
ENTRY
FORM
2016
SUNDAY 4TH
SEPTEMBER 2016
Marathon
Half-Marathon
Banks’s 10k Run
Cousins 20k Cycle Event
Callprint Walk in the Park
Childrens Mini Marathon
Compton Hospice
Wolverhampton Rheumatology
Support Group
The Haven
The Mayoral Charity Fund
wolverhamptonmarathonevents
www.carverwolverhamptonmarathonevents.co.uk
@wolvesmarathon
[email protected]
CARVER WOLVERHAMPTON CITY MARATHON EVENTS
Sunday 4th September 2016 - West Park, Wolverhampton, WV1 4PS
I’d like to
enter....
Marathon (18yrs+) (9.15am)
o
o
Walk in the Park (10.15am) o
Cousins Cycle Event (8.55am) o
oCallprint
USE
Race No: OFFICE
Banks’s 10k Run * (9.45am) o
o
About you (entrant or parent/guardian)
o male o female title:
age:
date of birth:
Half Marathon (17yrs+) (9.15am)
Cousins Wheelchair Event (8.55am)
Childrens Mini Marathon (9.25am)
(Please give age as of 4th Sept 2016)
name:
/
/
contact number:
address:
postal code: email:
disabilities (please state):
company / club name * (eligible 10k team award entrants only):
England athletics members
I am a member of England Athletics Club / Affiliated Club
England Athletics Registration no:
Media interest
If you have any personal information or stories that would make interesting media coverage
for use by Signal 107.7 or any other media parties, please let us have the details...
Disclaimer (mandatory)
I / we accept that the organisers will not be liable for any loss, damage, action, claim, costs or
expenses which may arise from my / our participation in this event.
Signed: Date:
Full name (please print):
I have enclosed a cheque to “Carver Wolverhampton City Marathon“ for £
20k cycle event (family entry) (Please give ages as of 4th Sept 2016)
Entrants in this event must be accompanied by an adult if they are under the age of 14
years and their parent or guardian must sign at the bottom of this section.
Family entry is two adults and two children (under 18).
Adult 2 full name Age
Child 1 full name Age
Child 2 full name Age
I, the principal member of this family group, undertake to ensure that all members of our
group under the age of 14 will be under supervision during the event.
Signed:Date:
Childrens mini marathon (under 14’s) (Please give ages as of 4th Sept 2016)
Mini marathon entrants
Child 1 full name Age
Child 2 full name Age
I, the parent / guardian of the above named entrants, undertake to ensure that all members
of our group under the age of 14 will be under supervision during the event.
Signed:Date:
STRICTLY NO RACE DAY ENTRIES
Standard Fee
England Athletics
Registered Runners
Marathon
£30 *
£28 *
Half-Marathon
£22 *
£20 *
10k Run
£15 *
£13 *
Early entry fees
* An additional £5 fee is charged for entry on Race Saturday
20k Cycle Event (inc wheelchairs)
† Fee charged at 18 and over rate for entry on Race Saturday
18 and over
£16
Under 18
£12 †
Family
£35
Callprint Walk in the Park
14 and above
£5
Under 14
No fee
Childrens Mini Marathon
Child
£5
Adult
£5
IMPORTANT INFORMATION
Closing date for postal entries is Saturday 27th August 2016
Please send your complete form with cheque payable to
“Carver Wolverhampton City Marathon” to:
Marathon Office, Carver (Wolverhampton) Ltd,
Littles Lane, Wolverhampton WV1 1JY
You will receive your entry pack and race number through the post from July onwards.
Providing you have received this information, you do not need to register for the
event on the day. We do not require a stamped addressed envelope provided you have
written your address clearly on the entry form. Entry fees are non refundable.
Cyclists
ALL cyclists MUST abide by the rules for cyclists (Sections 59-82) of the Highway Code.
In order to avoid congestion at the start, please indicate your expected time for 20k Cycle.
Use of audio headsets and mobile phones by runners
IAAF Competition Rules DO NOT permit the use of any form of audio headset or mobile
telephone within the competition area. Promoters may restrict use and disqualify any
runner found to be contravening the instruction. Find out more about this on our website.
Contact us...
If you have any queries, please contact 01902 577000
Email : [email protected]
or log on to www.carverwolverhamptonmarathonevents.co.uk
SPONSORS
The Wolverhampton City Marathon is a registered charity (No. 1122078)
ESS Safeforce
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