ZYCKO Fairford 10K Road Race - Sunday 1 June 2008

Please tick appropriate category - Age on Race Day

Postal Address:.........................................................................................................................................

..........................................................................              Postcode:........................................................

Tel (day).............................................................               Tel (eve):.........................................................

I enclose a cheque/postal order for £ ........................ made payable to Fairford Festival
(£8.00 UK Athletics affiliated runners, £10 unaffiliated)

I hereby declare that I shall only compete in this race on foot, confirm that I will be an amateur as defined by the UK Athletics rules and will abide by those rules, that I will be 17 years of age or older on race day and will not start unless fit to complete the distance. I understand and accept that I take part in this race at my own risk and absolutely relieve the organisers or any person or body involved in the organisation of the event of any responsibility for any injury, loss or damage to myself or property which I may sustain in the course of or in connection with the Fairford 10k Road Race.

Signature: ………………………………………… Date: …………………………...

Please print out and complete this Entry Form and send with your entry fee
and a large SAE (A5 minimum size) for your race number to:

10K Entry Secretary, 4 Keble Lawns, Fairford, Gloucestershire, GL7 4BQ
     email: fairford10k@hotmail.com

Please ensure adequate postage is applied as per new Royal Mail charges.
Short-paid articles will not be accepted.