Step 1 Enter Your Details

Please use the form below to enter the event. It is your responsibility to enter the details correctly. These details will be used for results so please pay particular attention to your gender and your date of birth. The event organiser may be sending out race packs or event information. These will be sent to the address that you supply below. If you do not enter the correct details then you may not receive them.

PLEASE DO NOT INSERT YOUR FULL ADDRESS IN EACH OF THE ADDRESS FIELDS. ONLY ENTER THE DATA REQUESTED.

Personal Information

(If applicable)

(Day - Month - Year)

(Age on the day of the event)

(Please enter N/A if you are not a member of a club)

(Please enter N/A if you do not have a UKA number)

Emergency Contact Details

Please provide a contact name and number of someone who we can contact on the day of the event in case of an emergency.

*If the entrant is under the age of 18 on the day of the race please enter the name and contact number of a parent/guardian.

*How did you find out about our event?

Entry Options - Please choose an entry option below

£15.99 - UKA Affiliated (inc. 99p on-line fee plus £2 donation to our charitable cause) (EB01)
£17.99 - Unattached (inc. 99p on-line fee plus £2 donation to our charitable cause) (EB02)
£13.99 - UKA Affiliated (inc. 99p on-line fee) (EB03)
£15.99 - Unattached (inc. 99p on-line fee) (EB04)

Charity Donation

Would you like to make a charitable donation to our nominated charity:

Charity Name - Friends of Kirkbymoorside CP School (reg. charity 1050071)

£  
I am a taxpayer and wish for my donation to be made under provisions of the Gift Aid Scheme

Disclaimer

I declare I am an amateur as defined by UK Athletics Laws and will abide by the laws and rules of UK Athletics. I accept that the organiser will not be liable for any loss, damage, action, claim, cost or expenses which may arise in the consequence of my participation in this race. I declare that I will not compete unless I am in good health on the day of the race and that in any event I will compete at my own risk. I accept that I am responsible for my own safety and will following the rules of the highway code. I will comply with all safety instructions given to me both before and during the event. In the unlikely event of abandonment or cancellation, all or part of my entry fee may be retained for the management and administration of the event. I declare that I will be 15 year old or over on 6th May 2018. I accept that by choosing to not opt in to the newsletter that I WILL NOT receive important pre-race information sent our via email. I accept that once entered I cannot cancel my entry. I declare that I will not run with headphones or any other device that impairs my hearing.

I agree with the disclaimer as described above.

Refund Policy

Our standard policy is that no refunds are given. Any refund is at the discretion of the organising committee.

I agree with the refund policy as described above.

Event Newsletters - important

*We take e-mail and sending newsletters very seriously and even though we need to send you important event information via e-mail we do not wish to send it if you do not want to receive it. Rather than marking our newsletters as spam we would far rather let you opt out now. Marking our news as spam can have an adverse effect on our system. We do not automatically opt you in to receive newsletters but please tick the box if you wish to receive important event information which is highly recommended. Please note if you opt out you may miss important information that we need you to see.

I am happy to receive newsletters regarding the event I am entering.

Security Question

*What number is between 103 and 105?

Enter answer here.

Remember Me

If you would like to remember your basic details and save time filling in this form for other events then please tick the box below. This is not advisable on public computer systems.

Remember my details