Crossdale 10K Trail Race

UK Race Licence Number 20090760

Sunday, 27th September 2009, 10:00am

 

This entry form has been designed for you to print onto A4 paper. Either type your details in the boxes, or fill in by hand.

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Please send your completed registration form with an A5 stamped addressed envelope and entry fee to:

Crossdale Trail 10k & Fun Run, Keyworth, Nottingham NG12 5HP

Cheques payable to Friends of Crossdale. Closing date for postal entries is Monday 21st September 2009.

 

Please Note : Race numbers and information will be sent out after the closing date.

Contact details

First Name

Surname

Address

Postcode

'Phone

Date of Birth

Female

Age on Race Day

Male

Email

Tick here if you want to be emailed about next year's event

How did you hear about the event?

10K

Attached

£8.00

£10.00 on the day

Club Name

(if attached)

Unattached

£10.00

£12.00 on the day

(The additional £2.00 covers insurance

for those not running with a club)

Conditions: 10k runners must be at least 15 years of age on race day. Under UK Athletics rules, a signed entry for this event will be considered a declaration that you will run entirely at your own risk, and that you have no medical disabilities that would endanger you or others taking part. Entries accepted until 9:40 on the day, up to a maximum of 350 entrants. No refunds in the event of withdrawal. T-shirts are only guaranteed for 10k entries received by 1st September. The Race Director's decision is final. Course changes, if necessary, will be posted on our web site. Prizes are awarded on a one runner - one prize basis. The off-road nature of the course renders it unsuitable for wheelchair athletes.

Signed

Date

Race Number

(For Official Use Only)