THE  SSAFA 10K CHALLENGE

                  
              3   OCTOBER 2009

               REGISTRATION FORM

To Register for the SSAFA 10KM CHALLENGE  ,please fill the following form and submit it,

  or  Print   the relevant form out, complete it and send to

          SSAFA 10K, SSAFA HQ, E Block,

            BFPO 53, Episkopi

 with payment in cash or by cheque (payable to SSAFA 10K CHALLENGE). Your form will be acknowledged by either post or email. 

If you submit an application online you will be able to make payment, collect race number and t-shirt at our pre-registration venues or on on the day itself. However we would like to try and avoid resgistration on the day and see this as a last option. Pre-regsitration events will be on Saturday 19th September at the SSAFA Fete (Episkopi - Happy Valley) . Other entrants who have already paid will also have the oppotunity to collect race numbers and t-shirt at these event. If you miss these event and do not want to wait until the morning of the event please email the race organiser below who may be able to assist.

 John Lawton at   johnron2@cytanet.com.cy  


All entries should be received by Monday 28 September 2009

 

RACE NAME:
   

Surname:

Name:

Sex:

Date of Birth:(dd/mm/year)

Address:

Postal-code:

City:

Country:

Nationality:

Phone:

E-mail:

Running /  Walking:

T-Shirt:
 

ENTRY  FEES:

Cost of Entry: €10.

Cost of Entry on the day will be  €12.5

 
 
DECLARATION:

 I  declare that I will abide by rules and I accept that the organizers will not be liable for any loss, damage, action, claim, costs or expenses which may arise in consequence of my participation in this event.

 I declare that I will not compete in this race unless I will be in good health on the day of the race and that, in any event, I will only compete at my own risk. The organizers of the race have the right to refuse entry, and the decision of their officials will be final. I authorise the organizers to use any details or photographs for publicity purposes,if they wish so.

 I  hearby signify that I have read and agree to the terms of the above declaration.

(Parent´s signature if under the age of 18)

 

  Name: