UK Results Universal Entry Form

This form can be used for any UK event which indicates that it will take a universal form or for which you are unable to locate a form, except for events such as the London Marathon/Great North Run which have specific entry form requirements. If in doubt, contact the organiser! Please ensure that all your details are completed correctly! Fill in the fields on screen and then print the form (using your browser's "Print" function), resizing via your browser print preview options to get this onto one page if necessary.
Name of Event entered 
Date of Event 
Forename(s) 
Surname 
House name and/or address 
Second line of address 
District 
Town 
County  Postcode *
Telephone 
Email address 
Date of Birth - select from boxes: Day: Month: Year:
Give your age at the date of the race
(not all races base categories on age at race day)		   Gender  
Affiliated Club name (or 'Unattached')
(If you are in an unaffiliated club, you should indicate this)		 
Club Member/UKA Registration Number, if any 
If you want to add specific information (e.g. medical problems), please do so here.
  

Disclaimer and agreement - Please enter me for the above race. I hereby declare that I enter this race at my own risk and that no person(s) or organisation will be held responsible for any accident, injury or loss to myself prior to, during or after this event. I will abide by all the rules of the event and any regional or national governing body
Data Protection information - your details may be retained on computer by the race organiser for the purposes of this event and should not be passed to anyone except for emergency services use, if appropriate.
The sponsors of this race may wish to contact you - select here if this is ok

I accept the above terms and conditions


Signed ................................................. Dated .....................

Print the form then return this form to the appropriate race organiser together with your entry fee and a properly pre-paid S.A.E. for your Race Number and any relevant information unless the organiser has indicated that no SAE is required. Please remember to put the correct stamp on it for the size of envelope!!