Race Number __________
SHUTLINGSLOE FELL RACE – REGISTRATION FORM
Full Name ____________________________ Age _______
Address ____________________________________________
____________________________________________
Phone No. ___________________ Vehicle Reg. ____________
Email Address ____________________________________________
Club ____________________________________________
Category (tick as appropriate)
|
Open Race |
Junior Races |
|
Age at 31
May 2011 (Min. 12) |
Age at 30
May 2011 (Min. 8) |
Emergency Contact
__________________ Phone No.
____________
I understand that this race is held in accordance with
both the rules and safety requirements of the FRA. I confirm that I am aware of the organiser’s
information and requirements in connection with this race. I accept the hazards involved in fell running
and acknowledge that I am entering and running this race at my own risk. Other than the organiser’s liability for
causing death or personal injury by negligence, I confirm that I understand
that the organiser accepts no liability to me for any loss or damage of any
nature to myself or my property arising out of my participation in this race.
Signed _________________ Date _________________
(Signature of Parent/Guardian
if under 18)