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Radcliffe 5 Mile Multi Terrain Race - Online Entry

Thursday 14th August 2008 at 7.15pm

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 enter your age correctly to match your date of birth!!

If you submit an online entry but then choose to pay by cheque, please indicate this on a clearly marked printed copy of this form attached to your cheque for £4.50 att/£5.50 unatt payable to "Radcliffe AC" to avoid duplication, so we can delete your online entry details. The postal address is Radcliffe 5 Mile, c/o UKresults, 1 Sutton Street, Blackburn BB2 5ES. Postal entrants do NOT need to enclose an SAE - all numbers to be collected on the night.. If you want to download a paper form, you can do so by clicking here (acrobat .pdf). Further information is available at Radcliffe AC web site.

There is a 50p handling charge for online entries - you will collect your race number 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 - ALL ENTRANTS - COLLECT YOUR NUMBER AT REGISTRATION ON RACE DAY!
Starred items (*) must be completed (even if with "none")

Event entered * [Radcliffe 5 Mile Multi Terrain Race Attached @ £5.00]
   [Radcliffe 5 Mile Multi Terrain Race Unattached @ £7.00]
Select according to whether or not you are a UKA/ARC club member
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. Smalltown
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*Male Female
Age on 14th August 2008 (min. 16)* 
Date of Birth - select from boxes* Day: Month: Year: (Your race category is based on age at 14th August 2008)
UKA/ARC affiliated Club (or 'Unattached')* 
(You MUST be a member of a UKA/ARC affiliated club to pay the lower rate - if you pay the wrong fee you will have to pay a further £2 at registration before you collect your number). Please don't just type "attached" or "yes"!
UKA/ARC Reg No (or 'none')*  If you know your UKA/ARC registration number enter it here otherwise leave as "none"
If you want to add specific information (e.g. medical problems), please do so here.
    

Disclaimer and agreement - Please enter me for the above event. I declare that I am an amateur. I take part at my own risk and will not hold the organisers responsible for any loss, injury or sickness that may arise from my taking part. I also agree that the organisers may change or alter any of the race details without notice and, in the unlikely event of abandonment, all or part of my entry fee may not be refunded.
Data Protection information - your details will be retained on computer by the organiser and UKResults only for the purposes of this event and any future events promoted by the organiser 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) *

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.