THE BEAST
Poole AC’s 13 MILE MULTI-TERRAIN EVENT
10.30 am - 5th September 2010
‘The Kraken on the Coast’
Licence No: Applied for (2009 No: 20090783)
Non-refundable entry fee £12.00, £10.00 for England Athletics Registered Runners
Sponsored by
|
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 30th JULY.
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 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
UK ATHLETICS REGISTRATION NUMBER _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
SEX M/F _ _ _ _ _ D.O.B _ _ _ _ _ _ _ _ _ _ _ _ _ _ age on race day _ _ _ _ _ _
T-shirt size (S, M, L, XL) _ _ _
Please enter me for ‘THE BEAST 2010’ 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 ............................. |
