Market Street Track Market Street Bury BL9 0DB
Wednesday 15 May 2019 at 7.00pm
UKA Permit No: Applied for
Closing date Wednesday 01 May 2019 £10
Entries on the day (before 6.30pm) £15
Prizes to the first 3 individual Men and Women
Prize to the first Team of 3 Men and first Team of 3 Women
If too many entries for one race, there will be additional races based on BP
ENTRY FORM
Bury AC 10K Track Event Wednesday 15 May 2019
Name | Male or Female | Age Group | ||||
Address | Club | |||||
Post Code | Tel No | |||||
EA Number | Date of Birth | |||||
Entry will be refused without this number | ||||||
Best Performance | Date of Performance | |||||
Entry Fee
Before 01.05 |
£10.00 enclosed | Late Entry Fee
Before 6.30pm |
£15.00 | |||
Signed | Parental Consent if under 18 | |||||
Cheques made payable to: Bury AC and posted to:
Bury AC 10K 5 Sheaf Field Walk RADCLIFFE Manchester M26 4DD
The organisers will not accept liability for any injury, or loss of property as a result of taking part in this event.