Contact me
Home page
Welcome to ukresults
 

48th Geoff Moulden Wimbledon 10 Mile Road Race Online Entry
Sunday 5th October 2008 at 10.00am

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 submit an online entry but then choose to pay by cheque (£10 attached, £12 unattached) payable to "Hercules Wimbledon AC" with A5 size 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 Richard Xerri, 181 Crowborough Road, Tooting, London SW17 9QD

There is a £1.10 handling charge for online entries (it costs £15 to enter on the day if there are any places!) and you should collect your number on the day. You can download a copy of the entry form by clicking here (pdf). You can obtain your race information from the Wimbledon 10 web site. 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 * [Wimbledon 10 - Attached @ £11.10]
   [Wimbledon 10 - Unattached @ £13.10]
Select according to whether or not you are an affiliated 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 (if any)     e.g. off Main Street
District (if any)     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 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 16 on race day)
Affiliated Club name (or 'Unattached')* 
(You MUST be a member of an affiliated club to pay the lower rates - if you pay the wrong fee you will have to pay a further £2 when you collect your number)
Your club reg'n number (or 'none')* 
The Sigma Sport Fastest Triathlete over 10 Miles Competition - If you are a triathlete with an Ironman or Half Ironman (or similar) or 3 x Olympic Distance events in the past 12 months, select here to qualify for this competition - details on the Wimbledon 10 web site  
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. Submission of this form will be considered as an acceptance of the governing rules of UK Athletics and a declaration that you are an amateur, are aged over 16, will compete on foot and run entirely at your own risk. No dogs or following cycles. Unfortunately, this race is not suitable for wheelchair athletes.
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 plus SAE) *

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.