Entry Form for Sheffield 10K

Name ________________________________ Club___________________________________

Address ______________________________ Registration Number _____________________

______________________________ Date of Birth ____________________________

Post Code _______________________ Age on 16^nd March 2008 __________(min age 15)

Tel ______________________________ Sex: Male/Female _____________________

Estimated 10K time ____________________

Veteran Categories are based on your age on the day of the race

Signature – The above details are correct and I understand the declaration below.

________________________________________________

Entry Fee - £8 attached/£10 unattached. Cheques made payable to "Lord Mayor’s 10K"

Post to: Ian Thomas, LM10K, 8 Sandygate Park Road, Sheffield S10 5TY. Tel 0114 230 1381

Entry closes on Wednesday 12^th March – entry on the day +£2

Number and other details will be sent by post – please enclose SAE (A5 size 24p, A4 Large Letter size 40p).

Important declaration: The race is off road, first aid is in attendance, marshals will monitor the race by bicycle.
Every care has been taken and the race is under UK rules and regulations. In entering you are declaring that you are
medically fit and the organisers can in no way be held responsible for any injury or illness incurred during or as a result of the race.
Please Take Care.