Burton 10 Mile & Fun Run Entry
First Name
Surname
Email
Telephone
Address
Town - City
County - State
Post - Zip Code
Date Of Birth ( dd/mm/yyyy)
Gender
Male
Female
Club (Affiliation)
UKA Affiliation No.
Race Entry
Unaffiliated 10 Mile £10.00 + £0.50 P&P
Unaffiliated 10 Mile £10.00 + £0.50 P&P inc Champs
Affiliated 10 Mile £8.00 + £0.50 P&P
Affiliated 10 Mile £8.00 + £0.50 P&P inc Champs
Fun Run £4.00 + £0.50 P&P
Comments (optional)
By clicking continue below you are declaring that to the best of your knowledge you are medically fit to compete. You enter at my own risk and agree that the organisers shall not be liable for any accident, injury, loss or damage resulting from my participation. You also agree to abide by the UKA rules.