SILCHESTER FUN RUN 2010

SATURDAY MAY 15th

                                               

 

 

 

CLOSING DATE FOR POSTAL ENTRIES IS FRIDAY May 7th 2010.  

ENTRY ON THE DAY £1 PER PERSON EXTRA

REGISTRATION FROM 9.30am ONWARDS AT THE CALLEVA ARMS

 

ENTRY FORM

 

Applicant Details

Surname

   

First name

     

Address

(Also tick box if

resident within

parish boundary)

     

   □

 

Email

 

 

     

For official use only

Chosen Race

(please  tick)

Post Code

      

Sex M/F

Age in yrs*

 

2 miles

5 miles

Number

Tel No

     

 □

      

 □

 □

 

Family Details

First name

     

 □      

      

 □

 □

 

First name

       

 □      

       

 □

 □

 

First name

     

 □

       

 □

 □

 
                   

                                                                                                          *Age for Under 17 and 50 or over

Entry Fees

 

 

 

Entrant

No req'd

Unit cost

Total

Adult

  

£6

      

Children (16 and Under)

 

£3

     

Family  (4 people any age)

 

£12

     

TOTAL AMOUNT PAYABLE:

(Cheques payable to Silchester Association)

     

 

Entries to be posted or hand delivered to ‘Fun Run’  25 Dukes Ride, Silchester, Reading RG7 2PX or The Calleva Arms Silchester. Please enclose an A5 stamped addressed envelope for runner’s number and sponsorship forms, ensuring that sufficient postage is applied.

 

I understand that I/we participate in the Silchester Fun Run at my/our own risk and the organisers will not be responsible for any injuries, illness or loss to any person or property.

 

 

Signed………………………………                                Date…………….……………………..                                                         webform 2010