Downlands Dash Entry Form - one form per person ⬚ F ⬚ M £

Held under UKA Athletics Rules – Licence applied for
Organised to raise funds for Friends of Compton Primary School
These are new, multi terrain, single lap, approx 10km and 4km trail races, set in the stunning West
Berkshire Downlands area. The 10km route includes a lovely stretch along the famous Ridgeway
National Trail itself. Both races are on undulating courses and are suitable for all abilities. The
registration area offers refreshment facilities, toilets and plenty of parking.
Restrictions: Courses unsuitable for dogs, wheelchairs, bicycles and prams.
Venue and Race HQ: ​
The Downs School, Compton, Berkshire RG20 6NU
th​
Entry limit: 300 places. Postal closing date:​
Saturday 6​
June 2015​
. Entries will be accepted on the day
subject to availability (add​
£2​
to entry fee). ​
Registration from 8.30am. Race starts at 10am​
.
More information including route map, race day information and online entry links:
www.downlandsdash.co.uk
Downlands Dash Entry Form - one form per person
th​
10am Sunday 14​
June 2015
Please return this form with appropriate ENTRY FEE to​
: Race Secretary, 18 Meadow Close, Compton,
Newbury, RG20 6QQ. ​
Cheques payable to ‘Friends of Compton Primary School’.
Please ​
​
tick​
box below to indicate which race you would like to enter ☑
⬚​
​
10 km UKA member ​
£11
⬚​
​
10 km unaffiliated entry ​
£13
(over 16 years old)
⬚​
​
4 km UKA member ​
£6
(over 16 years old)
⬚​
​
4 km unaffiliated entry ​
£8
(over 12 years old)
First Name
Date of Birth
(over 12 years old)
Surname
Age on 14.6.15
Gender (please tick)
⬚​
​
F
⬚​
​
M
Address
Postcode
Email (necessary for confirmation of entry)
Phone no (inc. area code)
Club affiliated to (if applicable)
Where did you hear about the race?
UKA Number
Fee enclosed
£
Acceptance of Conditions of Entry:​
I understand that this race is held in accordance with both the rules and safety
requirements of the TRA. I confirm that I am aware of the organiser’s information and requirements in connection with
this race. I accept the hazards involved in trail running and acknowledge that I am entering and running this race at my
own risk. Other than the organiser’s liability for causing death or personal injury by negligence, I confirm that the
organiser accepts no liability to me for any loss or damage of any nature to me or my property arising out of my
participation in this race. Race entry fee is non-refundable. I have read and agree to the terms and conditions.
Signed.................................................................... Date .........................................
(Parent/guardian signature required for all runners under 18 yrs old)