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Universal Entry Form

Meon Valley Express Half Marathon

Sunday 10th September 2017
Surname:Postal Address:
Date of Birth: 
Age on Race Day: 
Affiliated Club Name:Telephone:
Registration Number:Fax:
Entry Selection: (tick as appropriate)
13.1 mile multi terrain   
5000m cross country   
10000m cross country
Email Address:

Age Limits
Competitors must be aged at least:
18 years for a marathon
17 years for a half marathon
16 years for a 10 mile race
A signed entry form will be considered as an acceptance of governing body rules and a declaration that you compete entirely at your own risk.


Entry Instructions Provided by Organiser: www.racebest.com/races/meon-valley-express-half-marathon
Entry Fee: Attached 23.00, unattached 25.00 Chq's to Rural Running
Notes: Chip Timed. Additional parking in Wickham Square, a 10 minute walk from the start. If payng by cheque, please make payable to RURAL RUNNING, and send to 58 Kelvin Grove, Fareham, Hants, PO16 8LE

For Official Use Only
Remember to enclose a large SAE. Please do NOT make cheques payable to Running Diary. Either follow the organiser's instructions provided in the "Entry Instructions" section above, or alternatively leave the payee blank for the organiser to complete.
Please add any further information which may be of use to the event organiser on the back of this sheet.
Data Protection: If you do not wish any details to be passed on to a third party, including other running related organisations such as the race photographer, tick this box