ON-LINE  ENTRY TO THE
            Ely New Year's Eve 10K Road Race
               Wednesday - 31st December 2008 - 11:00am

Please fill out the form first. When completed, click on the "Submit" Button  at the bottom of the page.
You will then be taken to the payment page -Payment is by debit card or credit card
On-Line Entry Fee:- £8.00 affiliated - £10.00 unaffiliated 
On-Line entry closes 16th December 2008  (or when 700 entries have been received).
 

FIRST NAME:                              

SURNAME:                                  

AGE on RACE DAY:                     

SEX (M/F):                                   

DATE OF BIRTH: (DD/MM/YYYY)        (e.g. 07/11/1955)

AFFILIATED CLUB:
(Leave blank if none)                  

Address - (House Number, Road)
Address - (Area/Village/Town)    
Address - (City/County)                
Address - (Post Code)                  

Telephone Number:                       

Email Address:                             (We will use this address to confirm your entry)
(The rights of entrants will be covered by the Data Protection Act)

Not in use                                     

WALKERS - Please tick the box if you are entering the walking competition  
     ( Please note that there is a TIME LIMIT of 1hour 15 minutes for this race)

Tick the box if you would like to sign up to the Sweatshop mailing
list to receive advanced details on their special offers and promotions

Not in use 

DECLARATION:  I will be 15 or over on the race day and am an amateur as defined by the ARC and run at my own risk.
                          I understand that once my entry has been accepted, the entry fee cannot be refunded under any circumstances.

Tick the box to accept the declaration as shown above  

       (Before you submit, please check that you have ticked
                             the acceptance of declaration box above)