Runners Web UK - Universal Entry Form

Print off as many copies of this form as you require
http://www.RunnersWebUK.com Universal Entry Form	OFFICIAL USE ONLY

Event Entered:

Surname:

First Name:

Date of Birth:

Age on Race Day:

Sex:

First Claim Club:

UKA Affiliated?: Yes/No

Team Name (if applicable):

Address:

Town:

County:

Postcode:

Contact Telephone Number:

e-mail address:

Data Protection: If you do not wish details to be passed to a third party, tick box

Declaration: I agree to bide by UKA rules, and declare that I will compete on foot,
at my own risk and will not run on the day unless fit to do so.
I enclose a large sae and a cheque (payable to the event) to the value of: £

Signed:

Date:

http://www.RunnersWebUK.com
Universal Entry Form

Remember! Send this form to the race organisers, not Runners Web UK

Click here for Home Page

http://www.RunnersWebUK.com Universal Entry Form

Remember! Send this form to the race organisers, not Runners Web UK

Click here for Home Page

http://www.RunnersWebUK.com
Universal Entry Form