RESCUE AND FIREFIGHTING SERVICE 10K

 ENTRY FORM

Sunday19th October 2008, 9am

 

First name

 

Surname

 

Date of Birth

dd/mm/yy

 

Gender

 

Club

 

Registration number

 

Address

 

Postcode

 

Contact Telephone

 

Email

 

T-Shirt Size

              S                   M                    L                 XL

Please indicate if you are affiliated to a club and if so state which one

 

               Yes                             No                                Club. . . . . . . . . . . . . . . .

 

 

Emergency Contact Name

 

Emergency Contact Number

 

DISCLAIMER: I declare that I am medically fit and understand I enter this event at my own risk. The organisers will not be held responsible for any injury or illness caused to me during or as a result of the event, or for any property lost or damaged during the event. I will be over15 years of age on race day.

 

The above details are correct and I have read and understand the disclaimer.

 

Signed:                                                             Date:

 

Entry fee: £10 by post              £12 on race day.  

Please make cheques payable to: DONCASTER SHEFFIELD AIRPORT LTD

Send completed entry form and cheque to: RFFS, ROBIN HOOD AIRPORT, OLD BAWTRY ROAD, FINNINGLEY, DONCASTER, DN9 3BY

For further information contact: jarmson@robinhoodairport.com

                                                 bmills@robinhoodairport.com

Closing date of applications: Sunday 12 October 2008

 

Nominated Charities: British Heart Foundation

&

 Doncaster Royal Infirmary Coronary Care Unit (CCU)