Please note that, after you click "Send it!" at the bottom of the page, you will go to a verification page. Once you are happy that your information is correct, you can submit your entry and move to the payment page. Sorry if this is a bit longwinded but it's necessary to ensure that your data is correct!
If you submit an online entry but then choose to pay by cheque (£10.00 Attached, £12.00 Unattached ) payable to "Lichfield Running Club" with 9x6 SAE, please indicate this on a clearly marked printed copy of this form attached to your cheque to avoid duplication, so we can delete your online entry details. The postal address is Chris Cox, 16 Wentworth Drive, Lichfield, Staffordshire, WS14 9HN. To go to the event's web site - click here. You can telephone enquiries to 01543 301333.
There is a £1.00 handling charge for online entries (late entries are unlikely to be accepted on the day!) BUT you don't have any stamps or envelopes to pay for AND your race number and information will be posted to you prior to the race!. Nochex and PayPal do not require information other than that which relates to your credit or debit card - no pesky registration requirements!
Starred items (*) must be completed (even if with "none")
[Lichfield 10k Road Race Attached @ £11.00]
[Lichfield 10k Road Race Unattached @ £13.00]
Select according to whether or not you are an affiliated club member
You MUST be a member of an affiliated club to pay the lower rate - if you pay the wrong fee you will have to pay a further £2.00 at registration before you collect your number. Please put the name of your club, not just "Yes" or "Attached"!
(Your race category is based on age on 12/Sep/2010 - min. 15 years old on race day)
If you want to add specific information (e.g. medical problems), please do so here.
If you live outside the UK select "Outside UK" at the bottom of the list.
Please ensure that this email address is correct as you will not receive an emailed acknowledgement if it is wrong!
Disclaimer and agreement- Please enter me for the above event. I declare I am an amateur as defined by UK Athletics Laws and will abide by the laws and rules of UK Athletics. I accept that the organiser will not be liable for any loss, damage, action, claim, cost or expenses which may arise in the consequence of my participation in this race. I declare that I will not compete unless I am in good health on the day of the race and that in any event I will compete at my own risk.
Data Protection information - your details will be retained on computer by the organisers and UK Results only for the purposes of this event and any future events promoted by the organisers and will not be passed to anyone except for emergency services use, if appropriate.
I accept the above terms and conditions (please tick for online entry or sign if posting a completed form with cheque for the correct amount plus SAE) *
Click "Send it!" to complete your entry and move to the verification page.
or "Clear details" if you need to delete your details and re-enter them.
