You can enter the 10k on-line through the
Runner's World web-site,
or you can send in a traditional paper form for the 5k or 10k!
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