Number

SANDSTONE TRAIL CHALLENGE

SATURDAY 27TH MAY 2000

ENTRY FORM

Entry fee = £8.00

Entry limited to the first 200 applicants

Please complete all details

 

ARE YOU ENTERING AS A RUNNER? …………YES/NO

NAME…………………………………………………………………………………………………….

ADDRESS………………………………………………………………………………………………...

……………………………………………………………………………………………………………..

……………………………………………………………………………………………………………..

POST CODE…………………………………………E-MAIL……………………...…………………

*DATE OF BIRTH………………………………………………………………………………………

(*PLEASE NOTE: ALL ENTRANTS MUST BE AGED 16 yrs OF AGE ON DAY OF EVENT UNLESS ACCOMPANIED BY A PERSON AGED 16yrs OR ABOVE)

Telephone: day…………………………………………evening…………………………….………….

" I the undersigned hereby state that I enter this event entirely at my own risk. No claims will be made against the organisers in the event of accident/injury/death, however caused."

Signed……………………………………………dated………………..……/………………..…./2000

I would be grateful if you would answer the following:

‘ I heard about the event from’:……………………………………………………………………….

‘I am a member of a Fire Service/Brigade’: YES/NO If yes please state brigade…………………..

 

Please send completed application form to:

SANDSTONE TRAIL CHALLENGE

C/O THE FIRE STATION

SHIP STREET

FRODSHAM

CHESHIRE WA6 7NW

PLEASE ENCLOSE A CHEQUE OR POSTAL ORDER FOR £8.00, MADE PAYABLE TO "CHESHIRE FIRE BRIGADE MOUNTAINEERING CLUB (CFBMC)"please do not enclose cash.

ENSURE YOU ENCLOSE A LARGE SAE WITH POSTAGE TO THE VALUE OF 39p

THIS ENTRY FORM MAY BE PHOTOCOPIED