2017 D Day Entry Form
City of Portsmouth Athletic Club present
Under UKA Rules Certified Course
Start 10am – Lakeside North Harbour, Cosham A flat, fast & virtually traffic free course with Chip Timing by Fullonsport The course is not suitable for wheelchairs Medals to all finishers Spot Prizes Computerised Results Digital Clock Post Race Drinks Free Parking Accurate km markers Refreshments
Extensive Prize List 1st Five Men & 1st Five Women and Veterans Prizes in 5 year age groups from 40 to 80. Team Prizes for Men, Women & Vets (3 to score)
Member No. 811
Other events for you 5k Series -, Wednesdays 26 April, 24 May, 28 June, 26 July, 30 August 2017, Victory 5 mile – Sunday 3 December 2017
Entry Options Complete the Entry Form below or Pay by Credit Card, Debit Card or PayPal at www.fullonsport.com There is no transaction charge for D Day 10k online entries at Fullonsport
This race is strictly pre-entry – Entries on the day will not be accepted for the D Day 10k Postal Entries close on 30 May 2017
Entry form for the 2017 D Day 10k Road Race Information supplied on this Entry Form will only be used as permitted by the Data Protection Act
Surname
First Name
Male/Female
Address Post Code
Date of Birth
E-mail
Age on race day. Telephone No.
Athletic Club Entry Fee £13 (Affiliated)
Expected Finishing Time £15 (Unattached)
Entries to be made under the athletes ‘First Claim’ UKA affiliated club and posted with the entry fee to: Acacia Active, Acacia, Botley Road, Curdridge, Hampshire SO32 2DU to arrive not later than 30 May 2017 Cheques to be made payable to Athletic Events. A SAE is not required. I declare that I am medically fit to run and an amateur as defined by the rules governing this event. I will abide by the UKA rules and will not hold the organisers or sponsors responsible for any injury, illness or accident to my person or loss of property resulting from my participation in this event. The minimum age for entry is 16 years on the day of the race. In the event of cancellation due to any reason beyond the race organiser’s control, the entry fee may not be returned.
Signature
Licence No (if applicable)
Date
Race No. For further details visit www.athleticevents.co.uk or email [email protected]
Under UKA Rules Certified Course
Start 10am – Lakeside North Harbour, Cosham A flat, fast & virtually traffic free course with Chip Timing by Fullonsport The course is not suitable for wheelchairs Medals to all finishers Spot Prizes Computerised Results Digital Clock Post Race Drinks Free Parking Accurate km markers Refreshments
Extensive Prize List 1st Five Men & 1st Five Women and Veterans Prizes in 5 year age groups from 40 to 80. Team Prizes for Men, Women & Vets (3 to score)
Member No. 811
Other events for you 5k Series -, Wednesdays 26 April, 24 May, 28 June, 26 July, 30 August 2017, Victory 5 mile – Sunday 3 December 2017
Entry Options Complete the Entry Form below or Pay by Credit Card, Debit Card or PayPal at www.fullonsport.com There is no transaction charge for D Day 10k online entries at Fullonsport
This race is strictly pre-entry – Entries on the day will not be accepted for the D Day 10k Postal Entries close on 30 May 2017
Entry form for the 2017 D Day 10k Road Race Information supplied on this Entry Form will only be used as permitted by the Data Protection Act
Surname
First Name
Male/Female
Address Post Code
Date of Birth
Age on race day. Telephone No.
Athletic Club Entry Fee £13 (Affiliated)
Expected Finishing Time £15 (Unattached)
Entries to be made under the athletes ‘First Claim’ UKA affiliated club and posted with the entry fee to: Acacia Active, Acacia, Botley Road, Curdridge, Hampshire SO32 2DU to arrive not later than 30 May 2017 Cheques to be made payable to Athletic Events. A SAE is not required. I declare that I am medically fit to run and an amateur as defined by the rules governing this event. I will abide by the UKA rules and will not hold the organisers or sponsors responsible for any injury, illness or accident to my person or loss of property resulting from my participation in this event. The minimum age for entry is 16 years on the day of the race. In the event of cancellation due to any reason beyond the race organiser’s control, the entry fee may not be returned.
Signature
Licence No (if applicable)
Date
Race No. For further details visit www.athleticevents.co.uk or email [email protected]
