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Under UK Athletic Rules (Permit applied for)
Which Run?
First Name
Surname
Contact Phone
Date of Birth
Age on Race Day
Gender
Email Address
Address 1
Address 2
Address 3
Town
County
Post Code
Club
Team
UKA Affiliated
Reg No.
Optional Information
Age Limits: Competitors for the 10k must be 15 years old or over on the day of the race.
DECLARATION
 Submission of this form will be considered as an acceptance of governing body rules and a declaration that you will compete on foot and run entirely at your own risk. No accompanying cycles allowed on the 10k run.
 Dogs on a lead allowed on the 3k run. No accompanying cycles allowed on the 3k run.
 Any medical conditions that you wish to advise the race organisers of, must be emailed separately.
DATA PROTECTION
 Details provided will be used by the race organisers only, and will not be passed to any third parties.
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