PBGP Junior 2021 ENTRY FORM
Entry form for the PBGP Junior 2021 Races
Child's Name (first and surname)
Child's Date of Birth
Age Category (based on age 31st Dec 2021)
Child's Club (if registered, otherwise "unattached")
Trawden - Sunday 27th June
Towneley - Sunday 11th July
Greenway - Wednesday 14th July
Hameldon - Sunday 18th July
Worsthorne - Sunday 1st August
Barrowford - Friday 6th August
Boulsworth - Sunday 8th August
- Sabden on Wednesday 23rd June has separate pre-entry on
- If you are unable to attend a race after registering, please contact us to let us know via the website, email or social media :
Does your Child have any medical conditions
If yes, please give details
Please enter my child for the above event. I accept that the organiser will not be liable for any loss, damage, action, claim, cost or expenses which may arise in the consequence of their participation in or attendance to this event. I declare that they will not attend unless they are in good health on the day of the event and accept that they attend at my own risk.
I confirm they will not attend if they/I have tested positive for Covid-19 during prior 14 days or show any Covid-19 symptoms: a high temperature, a new, continuous cough, a loss or change to your sense of smell or taste. Or if they/I have been in contact with anyone showing any signs of Covid-19 symptoms in the past 14 days, been asked to self-isolate by NHS Test and Trace service, or travelled within the last 14 days to an international location where self-isolation is required following your visit.
In the event that they/I exhibit Covid-19 symptoms following the event, I will report to organisers immediately and complete the UKA Covid-19 report form.
Runners are expected to follow all relevant guidance from the Government when participating in racing. Runners should apply social distancing to stay clear/give priority to pedestrians and people using public spaces.
I confirm that I am aware of the rules imposed on my child by the Race Organiser and that they will comply with them.
I consent to this information being passed to the relevant race organisers, publication of my child’s name, club, race category, race number, finishing time and race position in race pre-entry and results lists, and to the sharing of all the above details with trusted partner organisations (e.g. UK Athletics) for disciplinary purposes or otherwise where necessary in the interests of the sport.
A copy of your responses will be emailed to the address you provided.
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of KKIR.