Watermark of PrestonpansHeader picture and textText Box: Details on this entry form will be used by the race organisers for the purpose of race administration.

ENTRY FORM
Text Box: 1.Surname Text Box: 2.Forename/s Text Box: 3.Address Text Box: 4.Postcode Text Box: 5.Email Text Box: 6.Telephone Day Text Box: 7.Telephone eve Text Box: 7. Date of Birth Text Box: 8.Age on Race Day (min 17) Text Box: 10. What is your predicted finish time hrs mins Text Box: 11. T shirt size small medium large x-large Text Box: 12. Please let us know if you have a medical condition the organisers should know about. Information will be treated in confidence. Text Box: 13. ENTRY FEE Scottish Athletics (SAL) Affiliated Club Runner £10 Non Affiliated Runner £12 Please give the name of your registered athletic club ( if applicable)…………………………………………….. SAL Registration Number (if applicable) ……………………Cheque/Postal Order £…………………………… Payable to Grant Aitken—Please put your name and address on the reverse of the cheque/Postal Order. Text Box: In consideration of your accepting this entry, I the undersigned, intending to be legally bound hereby, for myself, my heirs, my executors and administrators, waive and releaseany and all rights and claims for the damages I may have against The Organising Authorities, and any sponsers or their representatives, successor or assignees for any and all injuries sustained by me in said event. I hereby declare that I will be the correct age or over on the day of the raceand have not competed in any athletics (track, road race, cross country or road walking) event as a professional, or having done so, I have reinstated to Text Box: I hereby Declare that the above details are COMPLETE and CORRECT in every detail. Signature…………………………………………………………………………………. Date………………………………………………………………………………………. Text Box: Please return your completed form and payment to: Prestonpans Half Marathon, 35 Schaw Road, Prestonpans, East Lothian, EH32 9HH. Text Box: Please return all applications by Wednesday 19th September to allow time to send out race numbers. Any late entries will require numbers to be collected on the morning of the race. Please note entries limited to 300.

PRESTONPANS HALF MARATHON SUNDAY 23 SEPTEMBER 2007

 
Text Box: 9. Male Female Race start 2006

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