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Coed y Brenin Off Road Duathlon - Online Entry

Nr. Dolgellau, Wales
Sunday 26th October 2008 at 10:00am


Please read these notes before you submit your entry - it may save me answering your queries with sarcastic remarks!

After you click "Send it!" at the bottom of the page, you will go to a verification page where you should check your details. 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! Please ensure that you enter your age as at 26th October 2008!

Relay entrants please complete a dedicated form for these events - click here for relay entry form.

There is no handling charge for online entries in this event. Nochex and PayPal do not require information other than that which relates to your credit or debit card - no pesky registration requirements!

You can obtain your race information from VLA Events web site and all entrants will collect their race numbers on the day for safety reasons. Your race information will be sent to you in due course (probably by email) and will also be viewable and downloadable from thisand the VLA Events site nearer race day.

Alternatively, you can complete this form (or download a pdf form by clicking here) and then print it to post with a cheque for £20 (it's £25 on the day!) payable to "VLA Events" to VLA Events, 8 Butler Street, Ramsbottom, Bury, Lancs BL0 9PG. You can telephone enquiries to 01706 258612. If you want race information to be posted to you you should enclose an A5 SAE (but we would prefer to use email if possible). All race information will be available on the VLA Events web site and also on this one. You will still collect your number on the day. If you do not enclose an SAE then it will be assumed that you will obtain your race information from the event web site.

Starred items (*) must be completed (even if with "none")

Event entered * [Coed y Brenin Duathlon Solo @ £20.00]
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* 
   Important - it is intended to keep in contact with you via email. Please ensure that your email address is correctly entered.
   If it is not, you may not receive any acknowledgement of your entry, or your race information.
Gender* Male Female
Enter your age at 26/10/2008* 
   (Minimum age for entry is 17 or over on the day)
Date of Birth - select from boxes* Day: Month: Year:
Club/Team name (or 'Unattached')* 
If you want to add specific information (e.g. medical problems, allergies etc.), please do so here
    

Data Protection information - your details will processed by VLA Events and UKresults in full accordance with UK data protection legislation. VLA Events contact you with information about other race events and services promoted by VLA Events. Your details will not passed to any third party except for emergency services use during the event, if necessary.

Disclaimer and agreement - Please enter me for the Coed y Brenin Off Road Duathlon. I agree to abide by the rules of the event and do not hold the event organisers or representatives responsible for any loss or damage howsoever caused to my person or property before, during and after the event. I understand that my mountain bike has to be in a fit condition to take on this challenge and that a helmet MUST be worn. I understand that there is no personal insurance and any third party damage I cause will be charged against me. I also understand that there will be no refund.
The sponsors of this race may wish to contact you - select here if you are happy for this to happen
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.