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Badger 10k Trail Race Series Online Entry (MULTIFORM)

14th May (closed), 18th June (closed), 16th July and 13th August 2009, at 7:30pm (August race at 7pm)
Sorry - for technical reasons this form will not autocomplete even if you have logged in!
Please read these notes before you submit your entry!

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 21st August 2009!

There is a 80p handling charge for online entries in this event per race (discounts apply for 2 and 3 races entered which will be calculated after you submit your form) or £1.25 for the 4 race series. Your numbers will be available on the night at registration Nochex and PayPal do not require information other than that which relates to your credit or debit card - no pesky registration requirements!

Please ensure you are entering the correct event(s)!!

Alternatively, you can complete this form (or download a pdf form for this series click here for pdf form) and then print it to post with a cheque for the appropriate entry fee payable to "Lancashire Wildlife Trust" to Clare Kenny, Lancashire Wildlife Trust, The Barn, Berkeley Drive, Bamber Bridge, Preston PR5 6BY. If you want race information to be posted to you you should enclose a large SAE. If you do not enclose an SAE then it will be assumed that you will collect your race number on the night.

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

Event entered * [Badger 10k Race 3 (16/7) @ £5.80]
   [Badger 10k Race 4 (13/8) @ £5.80]
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
Enter age at 13th August 2009* 
(If you are under 18 please contact the organiser before you enter to check your entry can be accepted)
Date of Birth - select from boxes:* Day: Month: Year:
Club/Team name (or 'Unattached')* 
UKA registration (or 'none')* 
Tick if you want the organisers to
send you information about their
work or events		 
If you want to add specific information (e.g. medical problems, interesting stuff about yourself), please do so here.
    

Disclaimer and agreement - Please enter me for the event(s) selected above. I declare that I am eligible as defined by UKA Rules and that I am medically fit to run. The organisers do not accept any responsibility for any accident or injury howsoever caused in any part of the event and reserve the right to cancel and of the races at any time due to unforeseen circumstances.
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, without your express consent.
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.