Sticker AFC Football Club Cornwall
Sticker AFC Football Club Cornwall

Next Event!

Sticker 5 Mile Application Form 2018
 
Saturday, June 23rd - 6.30pm
FIRST      NAME..................................................................SURNAME..................................................................................................................................
ADDRESS...........................................................................................................................................................POST CODE……........................................
TELEPHONE.............................................................E-MAIL ADDRESS…..………………………………………………………………………………………………………………
DATE OF BIRTH………………………………...……............AGE ON DAY………………………….......MALE/FEMALE................................................................
AFFIILIATED : YES / NO..............................  U.K.A. RACE LICENCE NUMBER………………………………………………………………………………….………….
RUNNING  CLUB……............................................................................................................................................................................................................
DATA PROTECTION : The information provided by you on this form will be used solely for the purpose of race results, and identification for health and safety reasons. The information will only be available to members of the results team and appropriate race officials, and will not be passed to any other person or agency.
 
DECLARATION : I understand that while the organisers make every effort to ensure my personal safety, they will not be responsible for any injury, loss or damage incurred by me during the race. I am over 15 years of age.
THE USE OF I’PODS, MP3’sS, etc, BY COMPETITORS WILL MEAN DISQUALIFICATION
Signed...............................................................................................................…….Date…….................................................................
Please return completed entry form to : Denise Pooley 16 Southdown Road Sticker St Austell PL26 7EW E-mail entries to  This email address is being protected from spambots. You need JavaScript enabled to view it.
Race entry fees £12 for affiliated runners and £15 for unaffiliated. * Please note there is a surcharge of £3 for entries on the day. Block entries to be received by Sun, June 17th.
All runners will receive a memento and a pasty after the race. Trophies awarded for all categories.
Please make cheques payable to Sticker Football Club Race Numbers can only be collected at Registration Race Enquires to This email address is being protected from spambots. You need JavaScript enabled to view it. or 01726 61973
Race Website : www.stickerafc.co.uk
LIFESTAR MEDICAL IN ATTENDANCE
Waldon Electrical Shield for the 1st Sticker AFC Finisher
 Special thanks to Michael Grigg for the use of his field for race car parking.

 

 

 

 

 

 



 

 

 

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