RWA Long Distance Championship 2007


 


 

 

Organised by Surrey Walking Club
28-29 July 2007  
Battersea Park, London  
   
Entry Form  
Please print this form and complete using BLOCK CAPITALS (Please ensure that you read the race Rules)
 

£ Please enter me for the Surrey Walking Club 100 miles/RWA Long Distance Championship - incorporating the RWA 50km Championship. Entry fee £25.00 payable to Surrey walking Club 

£ Please enter me for the RWA 50km Championship only. Entry fee £7.00 payable to Surrey walking Club 

 
Surname
First Name   Male/Female
Address
 
Post code Country (if not UK)
Email Tel No.
First Claim Club

Is this Club affiliated to UK Athletics?    Yes / No / Don’t know 
Date of Birth
Best previous walking 100 miles or long race over 50 miles (please give event, time & date)
 
 
 


 

DISCLAIMER:
The organisers will not be held liable or responsible in any way for any injury or damage to property or to the person arising from taking part in this event.

   
Please note
  • that refunds will not be given
  • entries are not transferable
  • the organisers retain the right to refuse an entry

 
Entry Fee enclosed: £25.00 for the 100 miles. £7.00 for the 50km Championship only Cheques payable to Surrey Walking Club 

Please send your entry form and cheque to: Kathy Crilley, Flat 11, 10 Bramham Gardens, London SW5 0JQ.  Tel. 020 7373 6200.
Email enquiries: kathy.crilley@virgin.net
Closing date for entries: 16th July 2007 or when entries are full.
 
I agree to accept the Rules as set out by the organisers under the UKA & IAAF Race Walking Rules
   
   
Signed: Date: