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.

*For athletes under the age of 18, this form must be completed by a parent/guardian. Please state the name of the person filling in this form and your relationship to the named athlete.

*Please select you Tee Shirt Size

Entry Options - Please choose an entry option below

£18.00 - UKA Affiliated
£20.00 - Unattached

Charity Donation

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

Charity Name - British Heart Foundation

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

Disclaimer

Competitors must be medically and physically fit to run and all entries are made at the competitors own risk. Cleethorpes Athletics Club or any person involved in the organisation of the event will not be held responsible for any loss, illness or injury resulting from the event. By entering this event, you agree that we may publish your Personal Information as part of the results of the Event and may pass such information to the governing body or any affiliated organisation for the purpose of insurance, licences or for publishing results either for the event alone or combined with or compared to other events. Results may include (but not be limited to) name, any club affiliation, race times and age category.

I agree with the disclaimer as described above.

Refund Policy

Sorry no refunds. Whilst the organisers make every endeavour to ensure the race will go ahead certain circumstances are beyond our control. If the race is cancelled due to adverse weather conditions we will be unable to offer any refunds, after expenses any remaining funds will be donated to the club charity of the year.

I agree with the refund policy as described above.

Important Event Information

*To manage this event effectively we will need to send you important event information by email. We will be providing information that we really need you to see. We will only send you information regarding the event itself and will not use your email address for any other purpose.

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