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Universal Entry Form

Chedworth Roman Trail

Sunday 15th April 2018
Surname:Postal Address:
Date of Birth: 
Age on Race Day: 
Affiliated Club Name:Telephone:
Registration Number:Fax:
Entry Selection: (tick as appropriate)
10 mile multi terrain
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: online via club website or postal to Hill Farm House, Queen Street, Chedworth, Cheltenham, GL54 4AG. Cheques payable to Cirencester AC
Entry Fee: 13 attached / 15 unattached. Entry limit 500
Notes: This is a 10 mile multi-terrain race over paths, woodland trails and fields in the heart of the Cotswolds. 19th running of the event.

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