ENTRY FORM for ALDERNEY HALF MARATHON & 10 km run
RACES START AT 12 NOON SATURDAY 2nd SEPTEMBER 2017

Closing date for postal entries: 25th Aug 2017. Late entries accepted on the day.

 First name…………………………..              Surname………………………………..

Address………………………………………………………………………………...

………………………………………………Postcode ……………………………….

Tel………………………………....               Mobile …………………………………

Email address …………………………………………………………………………

Age on race day ..................…………           Gender (M/F) …………………………

Name of Club (if applicable) …………………………………………………………

Race entered         O Half Marathon            O 10 km    (same entry fee)

UK Athletics affiliated runners   £10     O                   

Non-affiliated                             £12     O                   

Entries on the day  £13   

 

               Cheques should be made payable to “The Rotary Club of Alderney” and posted to
Helen Ackrill, Petit Normandie, Rue Les Joy, Alderney GY9 3UL

or handed in to

“Selections” at 33 Victoria Street, GY9 3TA

Please enter me for the Alderney Half Marathon/10km race. I am eligible to compete as an amateur. I understand that neither the sponsors nor the organisers shall be liable for any loss, damage or injury which I may suffer, and whether or not caused wholly or partly by the fault or negligence of any of the sponsors or organisers, or of their servants or agents for whose actions they, or any of them are liable. I shall relieve the sponsors of any claims which may be made against them, for such loss, damage or injury which may be caused wholly or partly by my fault or negligence.

 

Signed………………………………..  Date ……………………………
(Minimum age of all competitors is 18)