Certified accurate

SWVAC OPEN 5km Race Race & Walking Championship

Barton Saint David, Somerset

Organised by: South West Veterns’ Athletics Club in accordance with UKA rules. Permit No.

SEAA Course measurement Certificate.

Bank Holiday Monday 25th AUGUST 2008

Race starts at 12 noon

CLOSING DATE 21^ST AUGUST 2008

ENTRIES ON THE DAY (£2 EXTRA)

GUEST RUNNERS WELCOME

NEW COURSE

Entry Fee (Non Refundable): £5.00 Affiliated Competitors £7.00 Non-Affiliated Competitors

(Cheque payable to ‘South West Vets AC’). Parking at venue; limited changing and shower facilities;

Not suitable for Wheelchairs

Championship Medals for 1st, 2^nd & 3^rd in all 5 Year Age Categories Male and Female from 35 up.

Complete and Detach the Entry Form, send appropriate fee and a S.A.E. (9"x6") to:

Race Secretary, 7 Sandford Court, 32 Belle Vue Road, Bournemouth, Dorset BH6 3DR (01202 429137).

E-mail:- k.ballam@btinternet.com.

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SWAC OPEN 5km Road Race & Race Walk Championship

ENTRY FORM

PLEASE COMPLETE ALL DETAILS IN BLOCK CAPITALS

Surname……………………….……………………..Forename(s)..…………….…………….......…………..…

Address..…………………………………..………………………………………………………………........…

………………………………………..…………………………………………Postcode…………………….…

Date of Birth………..….…….Gender M/F……..… Tel Numbers & STD Code(Home)…………….…….…

E-Mail………………..………..………….…........................................................................................................…

Affiliated Club………………………………..…….…….Membership No…………………………

I declare that I am an amateur as defined by UK Athletics. I agree to abide by the current laws of competition of UK Athletics.

I am medically fit to run. I agree that I enter at my own risk and that the organisers will in no way be held responsible for any injury, illness, accident to my person or loss of my property as a result of my participation in this event. I also understand that no refund can be given in the event that the race is cancelled due to circumstances outside the organiser’s control, or if I am unable to compete due to illness or injury. Data Protection Act: Entry details may be stored on a computer disk. It will not be possible to process Entries for anyone who objects to having his/her details so recorded. Submission of this entry is taken to indicate that the entrant does not object to having his/her details so recorded