Accy 10k entry form 2013 pdf accy 10k
1
10am Sunday 27th October 2013 Registration from 8am at race HQ Accrington Cricket Club, Thorneyholme Rd, Accrington (Off Queens Rd, near to Accrington Victoria Hospital - continue down Thorneyholme Road and follow the short dirt track to the Cricket Club) SAT NAV users - use postcode BB5 6BD Start 10am, Burnley Rd, below Whitakers Arms pub. 1st 6 Men 1st 6 Ladies 1st Vet Male 40/45/50/55/60/ + 1st Vet Lady 35/40/45/50/55/ + 1st Team M/F 1st Junior (under 19 yrs) M/F Spot prizes Male & Female event record £100 Cheques payable to ‘Accrington Road Runners’. Closing date for postal entries 21st Oct 2013. Entries received after this date will require entrants to collect race numbers and info from REGISTRATION on race day. On line entries an additional £1 (via UKForms.net) £10 Affiliated Athletes £12 Unattached £2 Extra on the day Important - Competitors are requested to complete a medical information form on the reverse of their race number Entries to: Event Secretary, 12 Singleton Ave, Read, Nr Burnley, BB12 7PJ. Tel: 01282 771502 or [email protected] (essential enquiries only please!) Entry form produced by Helen Goodwin Tel 07977 110414 Name Address Postcode Tel Email address Athletic Club Home country governing body competition/registration No. Declaration I understand that I am entering entirely at my own risk and will not hold the organisers responsible for any injury or loss suffered as a result of my participation. For entrants under the age of 18 Yrs on race day, a parent or guardian signature of consent is required. Please indicate if you are a parent or guardian. Signed Date 9” x 6” SAE required with postal entries Leave Blank Age on day of race Date of Birth Male / Female (Please delete) Minimum age on day of race - 15 years Tony Bolton Sports We are advised, on safety grounds, that the course is unsuitable for wheelchair athletes. However, we, the organisers, would be pleased to try and accommodate any special needs or requirements - provided the organisers are notified well in advance - see contact number above. AccRiNgTON 10k Where? Our sponsors Prizes How much? Accrington Road Runners PRESENT PLEASE NOTE: The race start line is approx 10 mins walk from registration/HQ. Please allow plenty of time for this. Accessories, Drinks Bottles, Gloves, Hats, Jackets, Shorts, Socks, Tights/Tracksters, Training Tops www.tonyboltonsports.co.uk Course accuracy certificate No. 09/039 Fast accurately measured course (sorry not suitable for wheelchairs), certificate number No09/039 Under UKA Rules - Licence no. 2013-105667 Snacks and drinks for sale in the clubhouse Changing facilities (no showers) Technical T-shirt to all finishers Other info!
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We are sponsoring Accrington 10k with Chorley Nissan. Date is the 27th October
Transcript of Accy 10k entry form 2013 pdf accy 10k
10am Sunday 27th October 2013
Registration from 8am at race HQ Accrington Cricket Club,Thorneyholme Rd, Accrington (Off Queens Rd, near toAccrington Victoria Hospital - continue down ThorneyholmeRoad and follow the short dirt track to the Cricket Club)
SAT NAV users - use postcode BB5 6BD
Start 10am, Burnley Rd, below
Whitakers Arms pub.
1st 6 Men 1st 6 Ladies
1st Vet Male 40/45/50/55/60/ +
1st Vet Lady 35/40/45/50/55/ +
1st Team M/F
1st Junior (under 19 yrs) M/F
Spot prizes
Male & Female
event record £100
Cheques payable to ‘Accrington Road Runners’.
Closing date for postal entries 21st Oct 2013. Entries received after
this date will require entrants to collect race numbers and info from
REGISTRATION on race day.
On line entries an additional £1 (via UKForms.net)
£10 Affiliated Athletes£12 Unattached£2 Extra on the day
Important - Competitors are requested to complete a medical information form on the reverse of their race number
Entries to: Event Secretary, 12 Singleton Ave, Read, Nr Burnley, BB12 7PJ.
Tel: 01282 771502 or [email protected] (essential enquiries only please!)
En
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10414
Name
Address
Postcode Tel
Email address
Athletic Club
Home country governing body competition/registration No.DeclarationI understand that I am entering entirely at my own risk and will not hold the organisers responsible for anyinjury or loss suffered as a result of my participation. For entrants under the age of 18 Yrs on race day, aparent or guardian signature of consent is required. Please indicate if you are a parent or guardian.
Signed Date
9” x 6” SAE required with postal entries
Leave Blank
Age on day of race
Date of Birth
Male / Female (Please delete)
Minimum age on day of race - 15 years
Tony Bolton Sports
We are advised, on safety grounds, that thecourse is unsuitable for wheelchair athletes.However, we, the organisers, would bepleased to try and accommodate any specialneeds or requirements - provided theorganisers are notified well in advance - seecontact number above.
AccRiNgTON 10k
Where?
Our sponsors
Prizes
How much?
Accrington Road Runners PRESENT
PLEASE NOTE: The race start line is approx 10 minswalk from registration/HQ. Please allow plenty of time
for this.
Accessories, Drinks Bottles, Gloves,Hats, Jackets, Shorts, Socks,
Tights/Tracksters, Training Tops
www.tonyboltonsports.co.uk
Course accuracy
certificate No.
09/039
Fast accurately measured course (sorry not suitablefor wheelchairs), certificate number No09/039Under UKA Rules - Licence no. 2013-105667Snacks and drinks for sale in the clubhouseChanging facilities (no showers)Technical T-shirt to all finishers
Other info!
