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Congleton Half Marathon, Cheshire - Online Entry
Sunday 5th October 2008 at 09:30am

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.

If you want to enter the Quarter Marathon or Fun Run, click here for the Quarter Marathon entry form or click here for the Fun Run form.

If you submit an online entry but then choose to pay by cheque (£12 attached, £14 unattached) payable to "Congleton Lions Club" (NO sae required as all numbers must be collected on the day), 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 Congleton Half Marathon, 9 Higginson Close, Congleton, Cheshire CW12 3SU. A paper entry form can be downloaded - click here (acrobat .pdf). You can telephone enquiries to 01260 297222 or you can visit Congleton Harriers web site for further information.

There is an £1 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 * [Congleton Half Marathon Attached @ £13.00]
   [Congleton Half Marathon Unattached @ £15.00]
Select according to whether or not you are a UKA 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. 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* 
Enter your age as at 05/10/2008* 
Date of Birth - select from boxes* Day: Month: Year: (Your race category is based on age at 5th October 2008 - min. age 17 on race day)
UKA Affiliated Club (or 'Unattached')* 
(You MUST be a member of a UKA 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 enter your club name, not just "Yes"!
UKA Reg No (or 'none')*  Enter your UKA registration number here (unattached runners put 'none' please)
NSRRA Num*  Enter your NSRRA registration number here if you are a member
T-shirt size* SmallMediumLargeExtra Large
Tick here for
Cheshire Championships		     To qualify you must (a) have been born in Cheshire or (b) have been resident in Cheshire for the last 9 months AND you must not have competed for, or in the championships of, another county in the last year prior to race date
If you want to add specific information (e.g. medical problems), please do so here.
    

Disclaimer and agreement - Pleas enter me for the Congleton Half Marathon. I am medically fit and understand that I enter at my own risk and that the organisers will not be held responsible for any injury or illness incurred during or as a results of the event or for any property lost or damaged on the course or in the changing area. I am an amateur as defined by the UKA rules.
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 organisers 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.