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The Blackburn Celebration Run Online Entry
Sunday 13th July 2008 from 10:30am
(Under 12 1 Mile at 10:30am, Under 14 1 Mile at 10:50am, Under 16 2 Miles at 11:10am)
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 1st September 2008.
To enter the 5k race, please use the
5k online entry form
If you submit an online entry but then choose to pay by cheque (£2) payable to "Blackburn with Darwen Borough Council" with 9x6 SAE, 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)
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There is a 50p 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 Celebration Under 12 Mile @ £2.50
[
Blackburn Celebration Under 14 Mile @ £2.50
[
Blackburn Celebration Under 16 2 Miles @ £2.50
Make sure you select the correct race!
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
*
-- select --
Avon
Bedfordshire
Berkshire
Buckinghamshire
Cambridgeshire
Central
Channel Islands
Cheshire
Cleveland
Clwyd
Cornwall
County Antrim
County Armagh
County Down
County Fermanagh
County Londonderry
County Tyrone
Cumbria
Derbyshire
Devon
Dorset
Dumfries and Galloway
Durham
Dyfed
East Yorkshire
East Sussex
Essex
Fife
Gloucestershire
Grampian
Greater Manchester
Gwent
Gwynedd
Hampshire
Herefordshire
Hertfordshire
Highlands and Islands
Isle of Man
Isle of Wight
Kent
Lancashire
Leicestershire
Lincolnshire
London
Lothian
Merseyside
Mid Glamorgan
Middlesex
Norfolk
North Yorkshire
Northamptonshire
Northumberland
Nottinghamshire
Oxfordshire
Powys
Shropshire
Somerset
South Glamorgan
South Yorkshire
Staffordshire
Strathclyde
Suffolk
Surrey
Tayside
Tyne and Wear
Warwickshire
West Glamorgan
West Midlands
West Sussex
West Yorkshire
Western Isles
Wiltshire
Worcestershire
Outside UK
Postcode
*
If you are from an address outside the UK select "Outside UK" at the bottom of the list.
Telephone
*
Email address
*
Gender
*
Male
Female
Age at 01/09/2008
*
Date of Birth - select from boxes
*
Day:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month:
01
02
03
04
05
06
07
08
09
10
11
12
Year:
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
(Your race category is based on age at
1st September 2008
)
Club or School name
(or 'Unattached')
*
Please put the name of your club/school, not just "Yes" or "Attached"!
If you want to add specific information (e.g. medical problems), please do so here.
You will not be included on the Sweatshop mailing list unless you select here
No mailing list
Mailing list please
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. Parental consent is deemed for all entrants by the submission of this form and payment by credit or debit card.
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.