Isle of Mull Half Marathon 2010

Junior Road Race 12-16yrs – 5k

Sun 8th Aug 2010– 2.30pm


JUNIOR ROAD RACE ENTRY FORM

PLEASE COMPLETE THIS FORM IN BLOCK CAPITALS
 

NAME

DATE OF BIRTH                           

AGE

HOME ADDRESS

 

SEX

CLUB

BEST PREVIOUS TIME

       


I declare my child is physically fit to run the distance and renounce any claims I may have against the organisers for any loss or injury as a result of participation in the event. I enclose a fee of £5.

 

SIGNED………………………………………………………………                 DATE…………………………………

(by parent or guardian)

Entry fee cheques should be made payable to ‘Mull Half Marathon’

c/o Jackie Hinge, Sealladh Resipol, Dervaig Road, Tobermory, Isle of Mull  PA75 6PY

Telephone: 01688 302075

Email contact: jackie@mullmedia.com

visit our website www.mullrunners.com