Online entry form
Surname:
First name:
Sex:
Address:
Postcode:
Daytime tel:
Evening tel:
Email:
Club:
Your age:
Your date of birth (dd/mm/yy):
PB for 10k (hh:mm):
PB for this event (hh:mm):


By clicking submit you declare and agree to the following:

  • I agree to abide by the regulations governing this event;
  • I am an amateur as defined by the UK:A;
  • I will be 15 years of age or older on the day of the event;
  • I enter and intend to run entirely at my own risk and will not participate unless I am fit to compete;
  • I agree that the organisers will in no way be held responsible for any injury, loss or illness incurred to me or my property during or as a result of this event.

We are required under data protection legislation to inform you that we will be holding your details and by completing this form, you are agreeing to us so doing.