CHASEWATER FAMILY FUN RUN 5K OR 1.2KM ROUTE

CHASEWATER FAMILY FUN RUN
5K OR 1.2KM ROUTE
AROUND CHASEWATER COUNTRY PARK
Sunday 17th May 2015
Registration at the Chasewater Innovation Centre from 10.00am
Runners set off at 10.30am.
Entry Fee Runners £10, Walkers £5 and under 12’s free
Come along and support the Royal British Legion
The route of the run & walk is on grassland, tarmac and gravel footpaths. The organiser reserves
the right to impose additional rules on the day, especially in bad weather. Commemorative medal
to all who take part, T shirts for adult runners only.
REGISTRATION FORM
Name: ………………………………………………………………………………………………..
Address: .................................................................................................................................
..................................................................................................................................................
Post Code: .............................................. Telephone: ...........................................................
Date of Birth: ............................................. Age on Race Day: ............................................
Please tick as appropriate.
Run:
Walk:
(Cheques to be made payable to: The Royal British Legion)
I declare that I will abide by the rules of the Poppy Run & Walk and I accept that the organisers will not be
liable for any loss, damage, action, claim, costs or expenses which may arise in 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 event, I will only enter at my own risk.
I grant to The Royal British Legion, its representatives and employees the right to take photographs of me and my
property in connection with the above-identified subject. I authorize The Royal British Legion its assigns and
transferees to copyright, use and publish the same in print and/or electronically.
I agree that The Royal British Legion may use such photographs of me with or without my name and for any lawful
purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
I have read and understand the above:
Signed: ........................................................................................... Date: ...........................................................
All participants will be issued with a number; this will be ready for collection on the day.
Please send completed registration forms with a cheques made payable to RBL to Freddy Homer, 24 St Johns
Road, Essington, Wolverhampton, WV11 2BY.