First Name:
Surname:
Address 1:
Address 2:
Address 3:
Address 4:
Postcode:
Email:
Tel Home:
Tel Mobile:
Date of Birth: (DD/MM/YYYY)
Male/Female: Male Female
Age On Race Day: Mininum age is 17 Years
*No entries accepted on race day. entries close 20 april 2005
There will be a 2500 entrant limit. please apply early to avoid disappointment. There will be a 3 hour time limit, after this time the course must start to be dismantled and you will not be timed but you will receive a medal and T-shirt if you finish.
Tick if using a self propelled Wheelchair:
(Please note the course is not wheelchair friendly)
Tick if you are a fully paid up member of An athletics club:
An Affiliated Athletics Club is one that has paid an affiliation fee to a regional athletics organisation like the SEAA or NEAA.
Name of your Affiliated athletics club:
If you wish to enter as part of a non athletics club, you can. This applies to teams from firms, sports centres, other sports clubs etc.
Name of your non-Affiliated athletics club:
You will be sent details when we confirm that your entry has been accepted. No race numbers will be sent out by post. They must be collected at registration which will be open at specific times leading up to the race, and on the day. Details will be included in your entry
confirmation pack.
 
Elite Atheletes If under 75 Minutes (Male), 85 Minutes (Female)
Please state your Anticipated finish time: Minutes
Tick to Enter the british masters half marathon championships:
Area Masters' club:
Membership number:
If you would like to enter and you are not a masters club member you will have to provide proof of your age (over 40 for men and over 35 for women) with a copy of a passport or birth certificate.
ENTRY FEES (Online discount of £1.00)
BASIC ENTRY FEE £18.00
Discount if member of an affiliated Athletics Club (see above for definition) -£1.00
Sorry, we cannot provide refunds under any circumstances
PLEASE NOTE TIMING CHIPS THAT ARE NOT RETURNED WILL BE CHARGED AT £10.00 TRAINING