Dedham
Run On-Line
Entry Form for
21st Sept 2008 |
| 10
kilometres (measured)
sponsored
by Ramsay Health
Care Oaks Hospital
|
& |
2.2 miles Fun Run
sponsored by St Joseph's College
|
| REFRESHMENTS
/ ENTERTAINMENT / BBQ / CHANGING FACILITIES / RESULT SERVICE £1
£50 CASH PRIZE FOR SETTING A NEW 10K COURSE
RECORD ON THE DAY
Fastest male - Adrian Musset (Colchester Harriers) –
29m 53s (2001); Fastest female - Ruth Eddy (Colchester & Tendring)
– 36m 48s (2000) |
| INDIVIDUAL
CATEGORIES - Please tick which category you are entering (only
one) |
|
|
| TEAM
CATEGORIES |
| 10
K (NB no U16’s) FUN RUN 2.2m |
 |
FUN
RUN 2.2m |
1st
Male Team of 4 (running club)
|
|
1st
Family Team (2 adults + 2 children U12 yrs) |
| 1st
Male Team of 4 (non running club) |
|
|
| 1st
Female Team of 4 (running club) |
|
|
|
1st Female Team of 4 (non running club) |
|
|
|
If you wish to be included in a TEAM, please state
team name here :
Disclaimer:
I declare that I am medically fit to run and understand that I do so
at my own risk and that the
organisers will not be liable for any loss, damage, action, claim cost
or expenses which may arise as a result of my taking part in this event.
|
|
Signed
……………………....
Parent’s/Guardian’s
signature if
under 16 ……………..........................
Please
complete this
form by typing
in the boxes
then printing
or printing
and then writing
in your information.
Enclose a cheque
payable to "Dedham
Run"
and send to
Dedham
Primary School,
Parsons Field,
Dedham, Colchester,
CO7 6BZ.
If
you are unable
to print this
form then you
can obtain a
copy by ringing
01206 322358.
Note
- last date
for receipt
of postal entries
- 18 September
2008.
Please collect
your running
number on the
day between
9 and 10.30
am at the Dedham
Playing Fields.
All proceeds
to Dedham Primary
School and Dedham
Youth Club.
Permit No 10286
|