Enter the Coigach Half Marathon

Coigach Half Marathon
Saturday 12th October 2019

Please copy this form into a word document and print or email to the race organiser. Payment details below…

Full name                 ___________________________________________________________

Address                    ___________________________________________________________

Postcode                  _______________________

Email                         __________________________________________________________

Have you run in this event before?       _______________________________________

Where did you hear about this event?  _______________________________________

I will be aged ___ years on the day of the race

I am male / female (please delete as appropriate)

Entry fee: £20 (or £18 for Scottish Athletics members)

This is a Scottish Athletics Permit event held under Scottish Athletics Regulations; open to anyone.

Scottish Athletics membership number (if applicable) __________

Please indicate your payment method:

• Cheque payable to: ‘Achiltibuie Playing Field Group’.
• Bank transfer to: Sort code: 83-28-01; Account number: 00118499. Please use your name and ‘CHM’ as reference.
• Cash or cheque on the day.

In entering I declare that I am:

(a) medically fit to run 

(b) I will be aged over 17 years on 12th October 2019

I accept that I enter at my own risk to myself and my belongings.

Signed  ____________________________________
(if you can’t sign now, we will ask you to sign on the day)

Date     ____________________________________

 

Please send this entry form to Angus Macleod by email or post:

angusmacleod96@yahoo.com 

or

Coigach Half Marathon
Achiltibuie, Ullapool, Ross-shire, IV26 2YT