Open Entry Form 2017

STEVENAGE AND NORTH HERTS ATHLETICS CLUB OPEN MEETING

ENTRY FORM FOR STEVENAGE ANNIVERSARY GAMES 8TH April 2017

                                          

 

 

 

Please complete all of this form in BLOCK CAPITALS

 

            SURNAME   ……………………………….…            FORENAME(S) ………………………..…………….

 

            ADDRESS   ………………………………………………………………………………………………….

 

……………………………………………………………………………….…………….……

 

Post code    ………….….   Tel.no  …………………………   e mail…………………….…………………..

 

CLUB  ……………………………………………………. ……………….

I wish to enter the following events;

best performance      age group       man/woman/boy/girl       Disability

Classification

……………………..                       ………………….         …………….        ………………..                        if appropriate

 

……………………..                       ………………….         …………….        ………………..                        ………………

 

……………………..                       ………………….        ……………..        ………………..

 

……………………..                       ………………….         …………….        ………………..

 

……………………..                       ………………….         …………….        ………………..

 

 

Date of Birth  ……………………

 

 

I declare that I am an amateur qualified to compete under the laws of  UKAthletics

 

SIGNATURE  ………………………………….    DATE  ………………….  ENTRY FEE ENCLOSED £…………

                                                                                do not send coins by post

Late entries will not be accepted CLOSING DATE 4th April

Cheques payable to STEVENAGE AND NORTH HERTS ATHLETICS CLUB

 

 

The timetable IS AVAILABLE – please ensure events entered don’t clash.

 

 

Entries to sent to Sheena Harley, 30 The Rowans, Baldock Herts. SG7 6HL

Queries to sheenalg@hotmail.com

 

Entry Fees       single events £4 each event 3 events £10   4 or more events (U20 upwards only) £12