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4 years ago

race entry form

race entry form

race entry

Data Protection Act The information you provide will be held by our race administrator, FR Systems, and then passed to Bristol City Council and UKA. If you require access to the personal data Bristol City Council holds on you, please contact the Data Protection Officer, The City Hall, College Green, Bristol, BS99 7PH, in writing. Race Information and other details Race organisers Bristol City Council, would like to offer a more efficient service and become more environmentally friendly by reducing the amount of printed matter we produce. Instead of sending you information by post, we would like runners to download race information from our website. We will also notify you by email or text when new information is available on our website that we would like you to read. Please tick here if you are happy to be updated by email by text Please tick here if you can only accept information by post runbristol training and advice During 2013 runbristol will be offering advice and practical training sessions for runners of all abilities. Please tick here if you wish to be contacted by: email text post An official photographer will take photos of all runners finishing the race. If you would like to be contacted about purchasing a photograph of yourself, please tick here: If you are happy for your name to be passed to our official sponsors who may wish to contact you regarding special offers or promotions, please tick here: If you are happy to be contacted by race organisers Bristol City Council regarding future sport activities, please tick here: Declaration I agree to abide by UKA rules. I am medically fit to participate in the event and understand that I enter at my own risk and that the organisers and associated partners shall not be held responsible for any injury or illness that may be caused to myself as a result of the event, or for any property lost during the event. I also agree to notify the race organisers on 01782 396113 prior to the event if my situation changes. I agree to write my emergency name and contact details for race day and any medical conditions which the race organisers should be aware of, on the reverse of my number. I also agree to pay £10 if I do not return my ChampionChip within 30 days after the race. Signature Date Cheques payable to: Bristol City Council (Bristol 10k), please write your name and address on the back. Important Please ensure that you have completed ALL parts of the form and that your details are correct. Send the completed signed entry form and your cheque or postal order for your race fee to the race administration agency: RunBristol 2013, FR Systems, PO Box 512, Cheadle, Stoke-on-Trent ST10 4RJ Tel: 01782 396113 email: bristol@frsystems.co.uk Bristol Design, Bristol City Council BD3548 SUNDAY 5 MAY 2013 BRISTOL HARBOURSIDE 9.30am (Bank Holiday weekend) Minimum age 15 years on race day Suitable for experienced racing wheelchair athletes Free t-shirt to all finishers Course accurately measured Km markers No late entries No entries on the day Organised under UKA rules race entry form www.runbristol.com

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