BLENHEIM 7K ENTRY FORM

Blenheim 7K Fun Run Sunday 29 April 2007 Race Entry Form Please print, sign and send your completed form together with a SAE and cheque (made payable to S.P.S.A) to Elly Wastie, 6, Evans Road Eynsham Witney Oxon OX29 4QR. The 7 km (4.25 mile) course uses footpaths and trails within Blenheim Park, including a lakeside section. The run starts at the Pleasure Gardens within the awe inspiring grounds of Blenheim Palace, Woodstock, Oxfordshire. It is suitable for all levels and abilities. There will be a junior fun run (under 15s) of 1 mile starting shortly after the main race. There are toilets, water and other refreshments will be available at a small fee. Registration is not available on the day. Parking is available and free of charge. Entry fee is £7.00 for adults and £3.50 for under 15s (cheques made payable to SPSA). Numbers are limited. All proceeds go to St Peter’s Primary School, Cassington and Woodstock Youth Club. There will be spot prizes, and a trophy for each of the following categories: Full race: 1st male, 1st female, 1st male over 60, 1st male over 50, 1st male over 40, 1st female over 55, 1st female over 45, 1st female over 35, 1st boy and girl under 15. 1 mile junior run: 1st boy under 9, 1st girl under 9, 1st boy under 12, 1st girl under 12, 1st boy under 15, 1st girl under 15 Surname......................................................................... Full race or fun run............................................................ First name....................................................................... Male or Female................................................................. Date of birth.................................................................... Age on race day............................................................... Affiliated club................................................................... Estimated time for distance ................................................ Address: ........................................................................ ..................................................................................... Postcode: ....................................................................... Contact telephone numbers: 01865 880449 E-mail: elly.wastie@ntlworld.com I enclose a large SAE and a cheque (made payable to SPSA) (Adults £7.00, children (under 15 years) £3.50) to the value of £ ... Declaration I declare that I am medically fit to run and understand that I enter at my own risk and that the organisers shall not be held responsible for any injury, loss or damage as a consequence of my participation in the event. Signed: Date: . ... . ..