Universal Entry Form
Surname:.....................................................First
Name:.......................................................
Postal
Address.......................................................................................................................
................................................................................................................................................
Town:...........................................................County...............................................................
Post Code:...................................................
Telephone
Day..................................................Home..........................................................
Date of Birth:.............................................. Age on Race Day
.............................................
First Claim
Club.....................................................................................................................
Is The Club Affiliated Y/N.......................... Your Reg No.
........................
Please enter me
in:-..........................................................................................Race/Series
Race Date:.....................................................Entry
Fee.......................................................
( Cheques to be made payable to: " check race details")
Best time for distance:............................Where
Achieved...................................................
I declare that I will abide by the laws and rules of UK ATHLETICS and I
accept that the organisers will not be liable for any loss, damage, action,
claim, costs or expenses which may arise in consequence of my participation in
this event. I declare that I will not compete in this race unless I am in
good health on the day of the race and that, in any event, I will only compete
at my own risk.
Signed...........................................................Date.................................................................
Please return this form to the appropriate race organiser together with your
entry fee and a 9"x 6" S.A.E. for your Race No and any relevant
information
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