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Charlie Coakley - Our Lady Queen of Peace Catholic Engineering ...

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ORMSKIRK RUDOLPH RUN 2012<br />

Sunday, 25 th November 2012, 11am – 2pm<br />

Sporting Edge, Edge Hill University Campus, Ormskirk<br />

Track based races include (from 11.15am onwards);<br />

Under 7’s Reindeer Tots Trot (fancy dress<br />

optional),<br />

Under 11’s Rudolph Racers (fancy dress<br />

optional),<br />

Under 16’s Rudolph Mile,<br />

The Whizzy Wheels Race,<br />

The 4 x 100m Emergency Services<br />

Defibrillator Relay Challenge.<br />

The Campus based 5k “Event for All” (1.15pm approx) (under 16’s accompanied by an adult).<br />

The activities are designed for all ages, 2 – 102, so take-part, enjoy and help support local Charities in West<br />

Lancashire with your entry fee* BUT fundraise through sponsorship for any cause you choose.<br />

* Charities: The Lancashire Defibrillator Campaign & Mayoress’s Charity (supporting N W Air Ambulance & West Lancs Scouts).<br />

To enter contact Sporting Edge on www.edgehill.ac.uk\edgehillsport<br />

OR use the entry form below.<br />

Entry Fee: £10 for family <strong>of</strong> 4/5, £5 individuals (Sponsor forms available with entry fee)<br />

<br />

The Ormskirk Rudolph Run 2012, 25 November, 11am onwards, Sporting Edge @ Edge Hill University<br />

Participant Name(s): ………………………………………………………………………………………………………………………………….<br />

Address: ………………………………………………………………………………………………………………………………………………………………………………………………………………………<br />

……………………………………………………………………………………………………………………………………………………………………………………………………………………………………..<br />

Postcode: …………………………… Telephone: ……………..…………………….. Email: ………………………………………………….…………………………………………..<br />

Male/Female ……………….. Age …….… Date Of Birth ………………………… Family Entry Individual Entry <br />

I /We take part in the event at my/our own risk and will not hold the organisers responsible for any loss, injury or sickness that may arise from my taking<br />

part. I also agree that the organisers may change or alter any <strong>of</strong> the above race description and in the unlikely event <strong>of</strong> the race not going ahead the<br />

organisers may not refund all or part <strong>of</strong> my entry fee.<br />

Signed (if under 18, Parent/Guardian)…………………………………………….………<br />

Date…………………..……………………<br />

Please indicate your entry type and return with entry fee (cheques payable to Lancashire Defibrillator Campaign) to:<br />

Amy Thompson, Rudolph Run Co-ordinator, Sporting Edge, Edge Hill University, St Helens Road, ORMSKIRK, L39 4QP<br />

(an email receipt with Sponsor form will be issued once payment received ).<br />

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