GIRVAN HALF MARATHON 2016

 

ENTRY FORM

 

Sunday 10th  July 2016.  Race start 12 noon, registration on the day from 10:30am Entry £12 SAL members, £14 non members.

 

Name: _____________________Male / Female *(delete as appropriate)

 

Date of Birth: ____________Age on day of Race: _________

 

Sal Membership No: _____________________

 

Address:_________________________________________________

 

_______________________________________________________

 

Tel No: ___________________________________________________

 

Club: _____________________________________________________

 

e-mail address: _____________________________________________

 

Three or more participants from the same club will automatically be entered for a team prize. Only first 3 will count.

 

Disclaimer: I declare that I am medically fit to run and that I do so at my own risk and that the organisers will not be liable for any loss, damage action, claim costs or expenses, which may arise as a result of my participation in the above event or from the postponement of this event for any reason whatsoever. I agree to be bound by the laws of SAL.

 

Signed: ________________________ Date: ______________________

 

Return form and cheque payable to Girvan AAC to Jill Bone, Race Administrator, 20 Mote Hill Crescent, Girvan, KA26 0ED.

Back