Get Registration Form - Camfed

2015 Charity Runner Registration Form eac Whe n h all run com ner ple of usi thes you ted ed ng by y e m and our tails ust p pas user onli ut sw nam ne ord e. Race Start 9. 35am Sunday 12th July Charity Race Ref. No. To be completed by Debenture Holding Charity D 99 Name of Debenture Holding Charity you are running for Camfed International Runner Surname Forename Address Postcode Mobile Number Alternate T elephone We must have your mobile number to send your text message position and official time Email Address Age on day of race Minimum age is 15 years on race day Date of Birth Male Female Next of Kin Name Next of Kin Mob No Please tell us about any relevant medical conditions Race numbers must not be swapped after the 5th July 2015. 2015 Charity Runner Registration Form eac Whe n h all run com ner ple of usi thes you ted ed ng by y e m and our tails ust p pas user onli ut sw nam ne ord e. Race Start 9. 35am Sunday 12th July Charity Race Ref* No* To be completed by Debenture Holding Charity D 99 Name of Debenture Holding Charity you are running for Camfed International Runner Surname Forename Address Postcode Mobile Number Alternate T elephone We must have your mobile number to send your text message position and official time Email Address Age on day of race Minimum age is 15 years on race day Date of Birth Male Female Next of Kin Name Next of Kin Mob No Please tell us about any relevant medical conditions Race numbers must not be swapped after the 5th July 2015. Race numbers are used to reference runners detail with the emergency services. Do not bring valuables to the baggage bays on race day. The organisers will not accept responsibility for loss or damage of participants kit bags however caused* If it is raining on race day seal your bag inside a clear platic bag. Make sure you arrive fully hydrated on race day. Course certified by AIMS measurer. It s a condition of entry that you will be able to finish the race in under 2 hours. Any fancy dress costumes must be functional and runner friendly for further details please see website at www. thebritish10klondon*co. uk I declare that will be 15 years or over on 12th July 2015 that I will compete on foot and that I enter and intend running entirely at my own risk. No animals baby strollers mechanical vehicles or wheelchairs etc* allowed on route. I agree to the terms and conditions of race entry which may change from time to time without prior notice. To the extent permitted by the Unfair Contract Terms Act 1977 neither Union Jack B10k Run Ltd nor its sponsors and suppliers including all local authorities and facilitating agencies be liable for any loss damage illness or injury whatsoever directly or indirectly occasioned by or resulting from the negligence wrongful act or default of Union Jack B10k Run Ltd its sponsors suppliers and facilitating local authorities and agencies or their respective servants or agents from any other cause including any act of God or the physical condition of the competitor.