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The Blackburn Celebration 5k Run Online Entry
Sunday 13th July 2008 at 11:45am and 12:15pm

(Elite Race 11:45, Open Race 12:15)
Please note that, after you click "Send it!" at the bottom of the page, you will go to a verification page. Once you are happy that your information is correct, you can submit your entry and move to the payment page. Sorry if this is a bit longwinded but it's necessary to ensure that your data is correct! In particular, please ensure that you include your correct age AS AT RACE DAY.

To enter the Junior Races, please use the Junior Race online entry form

If you submit an online entry but then choose to pay by cheque (£5) payable to "Blackburn with Darwen Borough Council", please indicate this on a clearly marked printed copy of this form attached to your cheque to avoid duplication, so we can delete your online entry details. The postal address is The Blackburn Celebration 5k Run, c/o UKResults, 1 Sutton Street, Feniscowles, Blackburn BB2 5ES. A paper entry form can be downloaded - click here (acrobat .pdf). You can download race information here - Word .doc (20k) or Acrobat .pdf (4k)

There is an 80p handling charge for online entries BUT you don't have any stamps or envelopes to pay for and your race number will be available for collection on the day. Nochex and PayPal do not require information other than that which relates to your credit or debit card - no pesky registration requirements!

REMEMBER - ARRIVE IN GOOD TIME AND COLLECT YOUR NUMBER ON THE DAY

Starred items (*) must be completed (even if with "none")

Event entered * [Blackburn 5k (Elite) @ £5.80]
   [Blackburn 5k (Open) @ £5.80]
   To qualify as an "Elite", runners must be capable of demonstrating a time of 16 minutes (Men) or 20 minutes (Women) and must provide evidence (see below) (equivalents can count, e.g. 32 minute 10k)
Forename* 
Surname* 
If you have a name like MacDonald please enter with a space before the next capital as Mac Donald - to ensure correct capitals.
House name and/or address*   e.g. 1 Smith Street
Second line of address     e.g. off Main Street
District     e.g. Smallville
Town*   e.g. Bigtown
County*  Postcode *
   If you are from an address outside the UK select "Outside UK" at the bottom of the list.
Telephone* 
Email address* 
Gender* 
Age as at 13/07/2008* 
Date of Birth - select from boxes* Day: Month: Year: (Your race category is based on age at 13th July 2008 - min. age 15 on race day)
Club/School name
(or 'Unattached')		* 
Please put the name of your club, not just "Yes" or "Attached"!
Elite entrants must verify their qualifying race, time and where the result can be checked.
    Enter the name of your qualifying race
    Enter your finish time at this race
    Enter web link or other to verify
If you want to add specific information (e.g. medical problems), please do so here.
    
If you wish to be included on the Sweatshop mailing list, select here

Disclaimer and agreement - Please enter me for the above event. I hereby declare that I am an amateur according to UK Athletics rules. I understand that I take part entirely at my own risk and accept that the organisers shall not be liable for any injury or illness to my person as a result of taking part, nor for damage to or loss of property.
Data Protection information - your details will be retained on computer by the organisers and UK Results only for the purposes of this event and any future events promoted by the club and will not be passed to anyone except for emergency services use, if appropriate.
I accept the above terms and conditions (please tick for online entry or sign if posting a completed form with cheque for the correct amount) *

Click "Send it!" to complete your entry and move to the verification page.

or "Clear details" if you need to delete your details and re-enter them.