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The White Horse Relayaround the 8 visible White Horses in Wiltshire75 mile, 14 leg, cross country Relay Race UK:A Licence Number: 10401 |
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Team Name:
Team members:
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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