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Green Drive Five, Lytham - Online Entry
Sunday 19th October 2008 at 11:00am

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 (£7 attached, £7.50 Attached championships, £9 unattached) payable to "Lytham St. Anne's Road Runners" 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 Angela Ashworth, GD5, 15 Laverton Road, St. Anne's FY8 1EW. A paper entry form can be downloaded - click here (acrobat .pdf) or you can telephone enquiries to 01253 640746. You can also get further information about this race at the Lytham St. Anne's Road Runners web site.

There is a £1 handling charge online entries, BUT you don't have any stamps or envelopes to pay for and your race number will be be available to collect 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 * [Green Drive Five Attached @ £8.00]
   [Green Drive Five + Lancashire Championships @ £8.50]
   [Green Drive Five Unattached @ £10.00]
   Select according to whether or not you are a UKA/ARC club member - see note below concerning Championship eligibility - only UKA clubs can take part in teh Championships.
   Make sure you enter if you want to take part - no late changes allowed!!
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 (not a required field)
District     e.g. Smallville (not a required field)
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* 
Please give your age
as at 19th October 2008		* 
Date of Birth - select from boxes* Day: Month: Year: (Your race category is based on age at 19th October 2008 - min. age 15 on race day)
Name of UKA/ARC affiliated Club
(or 'Unattached')		* 
(You MUST be a member of a UKA/EA/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 enter your club name, not just "Yes" or "Affiliated"!
EA/UKA/ARC number (or 'none')*  If you know your UKA/EA/ARC registration number enter it here otherwise leave as "none".
Lancashire Championship Qualifier (tick)   Lancashire Championships open to UKA ATTACHED CLUB runners BORN IN or having NINE MONTHS CONTINUOUS RESIDENCY in the NEW COUNTY OF LANCASHIRE immediately prior to race day. Don't enter unless you qualify - no refund of your extra 50p! ARC club members do not qualify and will be excluded.
If you want to add specific information (e.g. medical problems), please do so here.
    

Disclaimer and agreement - I declare that I am an amateur as defined under UK Athletics Rules and certify that I am fit to run and will not hold the organisers responsible for any injury to me or loss or damage to my property in relation to this event.
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 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.