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Home Page > News Archive > Mansfield 5k entry form

Mansfield 5k entry form

Posted on Wednesday, 21 July 2010 08:44PM by
MANSFIELD HARRIERS AND ATHLETIC CLUB
(Celebrating 90 years of athletics in Mansfield 1920- 2010)

The Mansfield 5K Classic
Road Race
Friday 3rd September 2010 at Berry Hill Park
Start 7-00 pm
Incorporates
Nottinghamshire AAA County Championship
And
Mansfield Business House and Fitness Challenge
Min age 14 on day of race

Awards
1st, 2nd and 3rd male and female - £50, £30 and £20
Age group prizes to
1st M40, M50 and M60       1st F35, F45 and F55          1st U’17 male and female
(one prize only per runner)

Plus County medals in Notts AAA Champs
Trophies to the winning local business and fitness club team
(based on cumulative time of first 3 runners)
Supported by Ridgeway Textiles and SiS

 FREE SUPPER TO ALL RUNNERS

Accurately measured course.            Permit applied for


Entry Fee        £5 club runner and £7 unattached         Entry on the day additional £2

Cheques payable to Mansfield Harriers AC

Entries to:  Open 5K, 6 Santon Road, Forest Town, Mansfield, NG19 0PR


Postal entries close on Wed 1st Sept 2010. Race numbers to be collected on the night

Entry Form     Mansfield Open 5K

Name



Age group

M  /  F
Notts AAA Champs
Athletics club/
Business/ fitness club


Date of birth


Yes / No


DECLARATION
I declare that I am medically fit to take part in this event and I agree that the organisers shall not be liable for any injury, illness or loss of property as a result of my participation in this race. I qualify for Notts Champs by birth / residence (delete as appropriate)


Signature                                                                                            Date
(Parent or guardian if under 18)
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