Avon Valley Runners

Westbury White Horse

The White Horse Relay

around the 8 visible White Horses in Wiltshire

75 mile, 14 leg, cross country Relay Race

UK:A Licence Number: 10401

Sunday, 8th June 2008 at 09:00

Team Name:

Team members:

Name Age Gender 1st leg 2nd leg
1
2
3
4
5
6
7

Runners, Spectators and Officials all take part in this event entirely at their own risk and neither Avon Valley Runners nor the organisers bear any liability for any loss, damage or injury to anyone taking part or watching.

Team Captain:

Club Name:

Address:

Post Code:

Telephone:

Is the club UK:A affiliated: Y / N

I have read and agree to the Rules for this event

Signature of Team Captain:

Date:

Entry fee paid: £50 (affiliated) or £65 (not affiliated) - Circle or delete as appropriate

Make cheques payable to Avon Valley Runners.

Sponsorship: Donation for Wiltshire Air Ambulance (Voluntary): £

Return this form to: Anthony Hickson, 15 Sandridge Road, Melksham, Wiltshire, SN12 7BE

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