MALDWYN HARRIERS MID WALES RACE SERIES 2014

CHOCOHOLICS 5K ROAD RACE & FUN RUN

1st IN THE SERIES

Out and back along pavements around the estates

FRIDAY 18th April 2014

Course Measurement Cert No: applied for                                            Permit No: applied for                                  

Fun Run starts at 11.00am-Main Race starts at 11.30

  (Under 9’s must be accompanied by an adult)         Race run under UK Athletics Rules                     (12 years and over)

 

Main race not suitable for wheelchairs/prams

Wheelchairs/prams are suitable and can enter fun run  

New road layout coming into Newtown

 

VENUE: Maldwyn Leisure Centre, Newtown, SY16 1LH

First Aid, showers, toilets

Entry fees: Club £6.00                                                           U/A £8.00

Fun Run Entry £2.00

Awards in all categories and prize to all fun runners

ENTRIES TO: Paul Beeson, Y Felin, Old Hall, Llanidloes, Powys SY18 6PW 01686 411354

www.maldwynharriers.org.uk or danny@newtownoaks.freeserve.co.uk

Please accept my entry for the Chocoholics 5K Race/Fun Run/Series on Friday 18th April 2014

Age Group (Please circle relevant age group)

U20   senior   V35   v40   v45   v50   v55   v60   v65   v70   v75

NAME ……………………………………………………M/F ……..……..      AGE ON DAY …………………………………..

ADDRESS ………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………………….

D.O.B……………………………   TELEPHONE NUMBER …………………………..………………………………………….

Registration Number …………………………………………Club ……………………………………………….…………………..

 

Fees: for this race only £ 6.00 Club or £  8.00 U/A Payable to Maldwyn Harriers

Fees: Fun Run £2.00

 

The organisers of this race will not be responsible for any loss or injury to myself or my property while I attend this event.  I am medically fit to run and I agree to abide by UKA laws. I declare that I am an amateur runner.

Signed …………………………………………………………………….                                 Date ……………………………………………………………….….

 

Signed (Under 16’s – Parent signs) ………………………………………………….            Date ………………………………………………………………...