Mandatory Senior Entry Form - Fell Runners Association Ltd.

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The Fell Runners Association Ltd
Race No.
SENIOR RACE ENTRY FORM
Race: ___________________________________Minimum age to enter ______
Full Name: _______________________________________________________
Club: ___________________________________________________________
Date of Birth: _________________________________________ Age:
_________
Category (Please circle below as appropriate)
WOMEN:
WU23
WSEN
W40
W45
W50
W55
W60
W65
W70
MEN:
MU23
MSEN
M40
M45
M50
M55
M60
M65
M70
Address:
______________________________________________________
_____________________________________ Postcode:__________________
Phone No. ____________________ Vehicle Registration _________________
Emergency Contact: _______________________________________________
Phone No: ______________________________________________________
I understand that this race is held in accordance, and that I have familiarised
myself, 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 confirm that I have navigational skills appropriate for this race and will
carry throughout the race any equipment specified either by the FRA Safety
Requirements or by the organiser. 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 me or my property arising out of my participation
in this race.
Signed: ___________________________________ Date __________________
Competitor or, if under 18, Parent/Legal Guardian or refer to
Parental Consent Form
The Fell Runners Association Limited, registered in England and Wales under number 7878976.
Registered office: 6 Westville Avenue, Ilkley, West Yorkshire LS29 9AH

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