MALDWYN HARRIERS MID WALES RACE SERIES 2010

CHOCOHOLICS 5K ROAD RACE & FUN RUN

1^st IN THE SERIES

Out and back along pavements around the estates

FRIDAY 2nd APRIL 2010

Course Measurement Cert No: W/10/392 Permit No: 2010/2/4

Fun Run starts at 11.00am-Main Race starts at 11.30

(Under 9’s must be accompanied by an adult) Race run under UK Athletics Rules (12 years and over)

Main race not suitable for wheelchairs/prams

Wheelchairs/prams are suitable and can enter fun run

New road layout coming into Newtown

VENUE: Maldwyn Leisure Centre, Newtown, SY16 1LH

First Aid, showers, toilets

Entry fees: Club £6.00 U/A £8.00

Fun Run Entry £2.00

Awards in all categories and prize to all fun runners

ENTRIES TO: Steve Orrells, 15 Dysart Terrace, Canal Road, Newtown, Powys, SY16 2JL. Telephone: 01686 624211

www.maldwynharriers.org.uk or orrells@hotmail.co.uk

Please accept my entry for the Chocoholics 5K Race/Fun Run/Series on Friday 02 April 2010

NAME ……………………………………………………M/F ……..…….. AGE ON DAY …………………………………..

ADDRESS ………………………………………………………………………………………………………………………………………………

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

D.O.B…………………………… TELEPHONE NUMBER …………………………..………………………………………….

Registration Number …………………………………………Club ……………………………………………….…………………..

Fees: for this race only £ 6.00 Club or £ 8.00 U/A Payable to Maldwyn Harriers

Fees: Fun Run £2.00

The organisers of this race will not be responsible for any loss or injury to myself or my property while I attend this event. I am medically fit to run and I agree to abide by UKA laws. I declare that I am an amateur runner.

Signed ……………………………………………………………………. Date ……………………………………………………………….….

Signed (Under 16’s – Parent signs) …………………………………………………. Date ………………………………………………………………...