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Name:...............................................................................................................
Address:............................................................................................................................
..........................................................................................................................................
Club.................................................................................Telephone..................................
Male
Female
Date of Birth:
.........../......../........... Age on
race day:...............
(10k entrants must be 15 or over)
Athletics Scotland Member?
Yes
No
Athletics Scotland No.
......................................
Entry fees:
Laggan 10k
Laggan 10k. £7 (or £9 if non Athletics
Scotland Member or other UK club member)
Fun Run Fun
Run £2
I enclose a cheque for £..................
Payable to "Pat Goddard"
Please send to: Strathmashie House, Laggan
Bridge, Highland. PH20 1BU. UK.
Please include a SAE to receive your race
number.
I wave any right and claims
against the organisers for any loss/injury
as a result of participating in this event.
Signed:
......................................................Date:
.........../.........../....2008.. |