You can enter on-line through the Runner's World web-site, or you can send in a traditiona paper form!

Entry Form

Rotary Autumn Fun Run
Speech House Field, Coleford, GL16 7EL
Sunday 18th September, 2011

Please complete a separate form for each runner.
Family name:
First name:
Address :

Town :
Postcode :
Run [ 5 km* ] [ 10 km* ] (*delete as appropriate)
Payment [ £5.00* (5 km)] [ £10.00* (10 km) ]
(*delete as appropriate)
Age on 18 Sept 2011
(or date of birth) 		:
Signature :
Signature of Guardian (if under 16) :
e-mail address
(will only be used to confirm details of this event) 		:
Please make your cheque payable to: "Rotary Club of the Royal Forest of Dean". If you are submitting forms for more than one person, a single cheque to cover the total amount will be fine if that's more convenient for you.
Now post the form(s) with your cheque to:
Rotary Autumn Fun Run
The Coach House
Victoria Rd
Lydney
GL15 5DG
If you have any comments or queries, please send them to:
webmaster11@rotary-rfod.org.uk