RACES START AT 12 NOON Sunday 2nd September 2012
Closing date for postal entries: 31 Aug 2012. Late entries accepted on the day subject to total numbers (200) not being exceeded
First name………………………….. Surname………………………………..
Address………………………………………………………………………………...
………………………………………………Postcode ……………………………….
Tel……………………………….... Mobile …………………………………
Email address …………………………………………………………………………
Age on race day ..................………… Gender (M/F) …………………………
Name of Club (if applicable) …………………………………………………………
Race entered O Half Marathon O 10 km (same entry fee)
UK Athletics affiliated runners £10 O
Non-affiliated £12 O
Entries on the day £13
Cheques should be made payable to “Alderney Runners” and posted to
Rod Paris, Valongis House, Alderney, GY9 3YW
Please enter me for the Alderney Half Marathon/10km race. I am eligible to compete as an amateur. I understand that neither the sponsors nor the organisers shall be liable for any loss, damage or injury which I may suffer, and whether or not caused wholly or partly by the fault or negligence of any of the sponsors or organisers, or of their servants or agents for whose actings they, or any of them are liable. I shall relieve the sponsors of any claims which may be made against them, for such loss, damage or injury which may be caused wholly or partly by my fault or negligence.
Signed……………………………….. Date ……………………………
(Parent or Guardian should sign instead if runner under 18)