Dunbar Running Club       Berwick Harriers       Moorfoot Running Club      Lauderdale Limpers





 Border Cross Country Series Entry Form



 



Gala Harriers         Norham Running Club        Run Duns


ONE entry fee: which entitles the runner to compete in as many or as few rounds as he/she wishes.

At Rounds 1-3:                 Senior £12                   Young Athlete £6

At Rounds 4-6:                  Senior £6                     Young Athlete £3

First Name_____________________________ Surname__________________________________________

D O B _____/_____/_____        Age on day of first entry _____               M [      ]     F [      ]  

Club, SAF Number or U/A ______________________________

Email address ______________________________________________

 

 

 

Young Athletes

 

 

 

 

 

 

Male

(Make one clear tick)

Female

 

Age:

  8 - 11

12 - 13

14 - 15

16 - 17

Age:

8 - 11

12 - 13

14 - 15

16 - 17

 

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Senior/Veteran

 

 

 

 

 

 

Male

(Make one clear tick)

 

Age:

16-19

20-39

40-44

45-49

50-54

55-59

60-64

65-69

70+

 

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Female

(Make one clear tick)

 

Age:

16-19

20-34

35-39

40-44

45-49

50-54

55-59

60+

 

 

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I agree to abide by the rules and am not under the minimum age to compete in the event.  I confirm that the organisers will not be liable for any loss, damage, action or expenses that may arise as a consequence of participation in this event.  I will not compete unless I am in good health on the day of the race and, in any case, I compete at my own risk.

Signature: _________________________________________________    Date: _________________________

        (For Young Athletes, signature of Parent/Guardian)

Contact phone/email _________________________________ / ______________________________________