TAVISTOCK Athletic Club Presents www.tavistockathletics.com TAVISTOCK TOWN RELAYS 200987 4 x Approx 1.1 miles		Sponsored by:
		0845 124 9410
and FUN RUN approx. 1.1 miles (UKA Permit 2009-100068 1615)
Thursday 1679^th July 200987
Fun run 6.30pm	Junior Relay 6.45pm Senior Relay 7.30pm
SENIOR ENTRY FORM		Team Number

Club Name or Organisation
Team Name (Optional)
Categories Tick one box in each section A, B and C If any runner runs for two or more legs for the same team then the team will not qualify for any of the prizes.	AA Sex ( if mixed team to count as male)
	□ Male	□ Female
	BB Age Category for Senior teamsor y (minimum age 160 years)
	□ Senior (Running Club)	□ Veteran (Running Club) ♂ over 40 yrs: ♀ over 35 years
	□ Other clubs (including sports clubs and businesses)Under 12	□ Under 14

We, the undersigned, declare that we will abide by the rules of UK Athletics and accept that the organisers will not be held responsible for injury, illness, action, claim, cost or expense which may arise in consequence of this event. We declare we will not compete unless we are in good health on race day and we compete at our own risk. We agree to photographic recording of the race for timing purposes.

Please list competitors in running order

We, the undersigned, declare that we will abide by the rules of UK Athletics and accept that the organisers will not be held responsible for injury, illness, action, claim, cost or expense which may arise in consequence of this event. We declare we will not compete unless we are in good health on race day and we compete at our own risk. We agree to photographic recording of the race for timing purposes.

Please list competitors in running order

1	Name		2	Name
	Signature			Signature
	Date of Birth Age	Male / Female		Date of BirthAge	Male / Female
3	Name		4	Name
	Signature			Signature
	Date of BirthAge	Male / Female		Date of BirthAge	Male / Female
Team Contact Telephone Number
· Entry Fees: Seniors £12 per team (unattached runners + £2), Juniors £10 per team, Fun Run £1.50 (entry on race day only) · Prizes to the first 3 teams in each category · Cheques payable to Tavistock Athletic Club · Pre-entries to arrive by Monday July 1346^th to Charlie Lloyd, 11 Moorland CourtRobert Kirby, 32 Fore Street, Bere Alston, Yelverton, PL20 7AD6BLAllan Herdman, St John’s West, Tavistock, PL19 9RE · Entries on day between 5.30 pm and 6.30 pm