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Entry Form

The document describes a 5K road race taking place on October 9, 2011 at Lytham Hall in Lancashire. Up to 30% of entry fees will be donated to help preserve Lytham Hall. The race will follow UK Athletics rules and offers prizes in several categories. It provides entry forms for the race which costs £6.50 for club runners and £8.50 for others.

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LythamHall5K
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29 views

Entry Form

The document describes a 5K road race taking place on October 9, 2011 at Lytham Hall in Lancashire. Up to 30% of entry fees will be donated to help preserve Lytham Hall. The race will follow UK Athletics rules and offers prizes in several categories. It provides entry forms for the race which costs £6.50 for club runners and £8.50 for others.

Uploaded by

LythamHall5K
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Up to 30% of Entry Fee donated to SAVE LYTHAM HALL appeal www.htnw.co.

uk/ lythamhallappeal

Lytham Hall Autumn 5K


Under UKA Rules. UKA Licence No. 2011-102725

Sunday 9th October 2011 @ 11:00am


A flat, accurately measured 5K road race within the grounds and surrounding area of the magnificent Lytham Hall, a Grade I listed 18th century Georgian manor house in Lytham, Lancashire, FY8 4JX
Prizes for first 3 men and first 3 women plus 1st in all vets categories and 1st Junior Boy and Girl Race Memento for all competitors - Car Parking, Cafe and Toilet facilities available Follow us on @LythamHall5K

---------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------- 
First Name: Surname:

Address:

Postcode:

Telephone No:

E-mail address:

UKA Club (if applicable): DOB: Age (on day of the race):

UKA Reg. No: Male/Female

Entry Fees: Club Runners (Reg No. MUST be provided) 6.50, Non-Club Runners 8.50 Entries on the day (until 10:30am if limits permit) 1.50 extra. Cheques made payable to Quaseb Ltd Declaration:- I will be over 13 years of age on race day. I agree to abide by the rules of UK Athletics. I understand that I enter the Lytham Hall Autumn 5K 2011 at my own risk and that the organisers will not be held responsible for any accident or injury or loss to myself or damage to my property as a result of my taking part. Signed (parent or guardian if under 18) Date

Please tick the box if you do not wish to receive information of SweatShop offers Postal entries to Lytham Hall Autumn 5K, 4 Ansdell Road North, Lytham St. Annes, FY8 4EZ or online at www.ukresults.net and www.runbritain.com Enquiries:- (07989) 403 247, e-mail [email protected] or www.quaseb.co.uk Closing Date for Postal Entries: Saturday 1st October 2011

NUMBERS TO BE PICKED UP BEFORE 10:30am ON RACE DAY

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