THE BEAST
Poole AC’s 13 MILE MULTI-TERRAIN EVENT
10.30 am - 6th September 2009
‘Sweet Sixteen’
Licence No Applied for (last year – 10761)
Non-refundable entry fee £12.00, £10.00 for England Athletics Registered Runners
Sponsored by
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RUNNING FREE
22A Bournemouth Road, Lower Parkstone, Poole 01202 741900 – www.runningfree.net |
THE RACE STARTS AND FINISHES ON CORFE COMMON, WEST STREET, CORFE CASTLE, DORSET.
TROPHIES FOR MOST CATEGORIES. UNIQUE T-SHIRT TO EVERY FINISHER.
CLOSING DATE IS 3rd AUGUST.
Please complete the form below (photocopies are acceptable) and send, with cheque made payable to
“POOLE ATHLETIC CLUB”
to the Race Director, 2a Cranfield Ave, Wimborne, BH21 1DE
Enclose a stamped, self-addressed A5 envelope for Race Details and Race Number
(Race details to be sent out in August)
Entry Form
First Name _ _ _ _ _ _ _ _ _ _ _ _ _ _ Surname _ _ _ _ _ _ _ _ _ _ _ __ _ _ _
Address _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _Post Code _ _ _ _ _ _ _ _ _ Tel _ _ _ _ _ _ _ _ _
E-mail address _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
UK ATHLETICS AFFILIATED CLUB _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
SEX M/F _ _ _ _ D.O.B _ _ _ _ _ _ _ _ _ _ _ age on race day _ _ _ _ _ _
T-shirt size (S, M, L, XL) _ _ _
Please enter me for ‘THE BEAST 2009’ I am over 18 years old on race day and am an amateur athlete. I agree to abide by the UK Athletics rules of the race and also the organisers shall be in no way responsible for any injury, illness or accident to my person or loss of property resulting in my participation in the event.
Mark or Signature ....................................... Date .............................
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