BEDFORD HARRIERS  www.bedfordharriers.co.uk : e-mail: hello@bedfordharriers.co.uk

Proudly presents  The Great Barford Half Marathon  and 1.5k Fun Run:   (under SEAA rules)   Permit no.2631

Start & finish at Great Barford Village Hall, Great Barford, Bedford
Sunday 8^th December 2002 Race starts 11:00am Fun run starts 11:15am

 Sponsored by: 'Charles Wells' 'J S & P S Chana' & 'At Your Own Pace'

 Entry fee Attached £7.00, Unattached £8.00, On the day +£2.00. Fun run £2.00

Race entry limit 500: Competitors must be at least 17 on the day of the race

Entry form

Surname

First name

Address

Post code 

Date of birth 

Age on race day

Gender 

UKA club (leave blank if unattached)

Home ‘phone no.

e-mail address

Please accept my entry for the Great Barford Half Marathon/fun run*. I accept that the organisers will not be liable for any loss, damages, action, claims, compensation or expenses, which might arise in consequence of my participation in this event. I declare that I will not compete in the race unless I am in good health on the day of the race and that in any event, I will compete only at my own risk. I declare that I am an amateur as defined by UKA/SEAA rules.

I consent that my details may be used in accordance with the DATA PROTECTION ACT 1988 and will be made available on request. *Delete as applicable.

I enclose entry fee of

Attached UKA club

£7.00 (+ £2.00 entry on the day)

Unattached

£8.00 (+ £2.00 entry on the day)

Fun Run for Age Concern

£2.00 Entry on day only. Under 10s must be accompanied by a responsible adult.

Total enclosed

Signed

Date

Cheques payable to Bedford Harriers AC.         £0.50 of each entry will be donated to Age Concern.

Send entries and (9 X 4) s.a.e to Jacinta Horne. 33 Harter Road, Kempston, Bedford MK42 7EY:
Telephone no. 01234 307013

Closing date for postal entries 29^th November 2002                                                                                         WS