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PEDNOR 5

| Pednor 5 Road Race Entry Details | Pednor 5 Race Walk Entry Details |

The PEDNOR 5 events are held on the first Bank Holiday Monday in May, this year's race being on

Monday 5th May 2008

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The ROAD RACE is at 7.00 p.m.   This is preceded by a RACE WALK at 5.00 p.m.
Both events are held over the same five mile circuit out to Pednor and back

Enter the PEDNOR CHALLENGE - Prize for the best combined time for Walk and Run

The Road Walk also incorporates a 2 miles walk for Under 15s

The race headquarters is at the Chesham 1879 Lawn Tennis and Squash Club, Pednor Road, Chesham

Car Parking at Water Meadow Car Park, Chesham (not at the Race HQ or on the Course please.)

Pednor 5 location map

ENTRY FORM FOR PEDNOR 5 ROAD RACE

Download as Microsoft Word Document| Download as Adobe PDF Document

CHILTERN HARRIERS A.C.

PEDNOR 5

Monday 5th May 2008 (Bank Holiday) at 7.00 p.m.
Held under UK Athletics Rules

A 5 mile road race on undulating lanes through scenic Chiltern countryside around Pednor, near Chesham, Buckinghamshire

ENTER THE PEDNOR CHALLENGE
PEDNOR 5 WALK (over same course) TO BE HELD ON SAME EVENING - START TIME 5.00 P.M.
Entry for the Pednor Run and Walk for £9.00 (£11.00 unattached)
Prize for the best combined times for walk and run

Surname:_________________________________________ First Name:______________________________

M/F: ______________Age & DOB on Day: _________________ Club: ___________________________________

Address: ___________________________________________________________________________________

            _____________________________________________________________________________________

Tel. No.: _______________________________________

I would also like to enter the Pednor Walk (starting at 5.00 p.m.) Extra £3.00 on Race Entry Fee (Y/N): ______

I enclose a cheque for £___________ payable to Chiltern Harriers A.C.

I declare that I am medically fit to run and I accept that the organisers and officials shall in no circumstances be under any liability for any injury, loss, damage sustained in connection with the Pednor 5 Run I am an amateur as defined by the UK Athletics Rules.

Signed: _________________________________________ Date: _________________________ (www)

ENTRY FORM FOR PEDNOR 5 RACE WALK

Download as Microsoft Word Document | Download as Adobe PDF Document

CHILTERN HARRIERS A.C.

PEDNOR 5 MILES OPEN ROAD WALK

+ Under 15 2 Miles Walk

(Category B - Permit no. 17/07/16)

Monday 5th 2008 (Bank Holiday) at 5.00 p.m.

also Pednor 5 miles Run at 7.00pm
with special awards for best combined Run/Walk times

Registration between 4.00 - 4.45 p.m., at Chesham 1879 Lawn Tennis and Squash Club, (Situated on Pednor Road, Chesham near the start/finish - see location map)

Pednor Walks and Run - Bank Holiday Monday 5th May 2008

To:    Martyn Cartwright, 10 Stubbs End Close, Amersham, Bucks HP6 6EW.

I wish to enter for the event(s) shown below - tick as appropriate - and enclose £ _____
(payable to Chiltern Harriers A.C.) in respect of the fee.
I understand that I take part at my own risk and that the organisers will not be held
responsible for any loss, injury or damage sustained by me.

5 mile Walk - £4.00  ______       Under 15 2 mile Walk - £1.00  ______
5 mile Run   - £6.00* ______ 5 mile Walk and Run  - £9.00* ______

*Please add £2.00 if unattached, i.e. Run £8.00, Walk and Run £11.00

Surname:_________________________________________ First Name:______________________________

Male/Female: ____________________________________ Date of Birth: ____________________________

Address: ___________________________________________________________________________________

              ___________________________________________________ Postcode:_______________________

Telephone No.: _______________________________________

Club: ________________________________________________

Show YES if Bucks qualified _________ Signature ________________________________