Egdon Heath Harriers

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Race Entry - Virtual Puddletown Plod
to be completed by 03-Jun-2019

Fields maked * are mandatory and need to be completed.

First Name: *
Last Name: *
Email address: *
Confirm Email: *
Date of Birth: *
Gender: *Male  Female
Address 1: *
Address 2:
Town: *
County: *
Postcode: *
Telephone:
Adult/Junior:Adult  Junior
 
 
   

Note: Race entry is only complete once payment has been received. You will receive a confirmation email (to the PayPal email address used for payment). All future race emails communications will be send to the email address filled in above.

(*1) Only required if entering as an affiliated club
(*2) Optional

I understand and agree that the organisers shall not be liable for any accidents, injury, loss or damage resulting from my participation in the Virtual Puddletown Plod. I declare that I am medically fit to participate. I will be 16 years (15 years for Egdon Easy) or over on the 03-Jun-2019. I agree and abide by the ARC Rules for Competition. Data Protection Act - I agree that my entry details and results may be stored on a computer/disk for race administration proposes only.