Join The Fun Run
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In conjunction with the Harborne Carnival
*Medals to all finishers* Sunday 28 June 2009
Start: 9.45am (First Run).
Route: High Street, Harborne (approx 1K). First Name: Family Name: Address:
Post Code: Tel no: School/Club: Male or Female: Date of Birth Age Groups
Under 10’s on 31 Aug / 1 Sept 2009 (7yrs on the day)
Under 12’s on 31 Aug / 1 Sept 2009
Under 14’s & 16’s on 31 Aug / 1 Sept 2009
Family Fun Walk, Jog or Run All ages
9.45am
10.00am
10.15am
10.30am
Please tick the appropriate age group. Start time:
Declaration: I declare that my child is fit to take part and understand that they take part entirely at my own risk and I accept that the organisers of the event will not be responsible for injury, illness or loss of property. Emergency contact number: Medical Issues we need to be made aware of: I am happy for my child’s photo to be used in YES NO community and leisure promotions (please tick). Parent / Guardians Date: signature:
Entry Fees: Junior Runs £2.00 & Family Run £2.00 per family member (Cheques made payable to Birmingham City Council). The entry fees will go towards the organisation of the event and a contribution to the “Edgbaston Foundation” to fund community, sports and art projects. Entry Forms to: Edgbaston Fun Run, Edgbaston Constituency, Harborne West, 326 High Street, Harborne, B17 9PU. Fun Run information will be sent out two weeks before the event with instructions on marshalling points and safety information. Please enclose a large SAE. Telephone 0121 464 1953
Entries limited to 500.
Harborne Carnival Official Use: Race no:
Age Group:
Cheque no:
*Medals to all finishers* Sunday 28 June 2009
Start: 9.45am (First Run).
Route: High Street, Harborne (approx 1K). First Name: Family Name: Address:
Post Code: Tel no: School/Club: Male or Female: Date of Birth Age Groups
Under 10’s on 31 Aug / 1 Sept 2009 (7yrs on the day)
Under 12’s on 31 Aug / 1 Sept 2009
Under 14’s & 16’s on 31 Aug / 1 Sept 2009
Family Fun Walk, Jog or Run All ages
9.45am
10.00am
10.15am
10.30am
Please tick the appropriate age group. Start time:
Declaration: I declare that my child is fit to take part and understand that they take part entirely at my own risk and I accept that the organisers of the event will not be responsible for injury, illness or loss of property. Emergency contact number: Medical Issues we need to be made aware of: I am happy for my child’s photo to be used in YES NO community and leisure promotions (please tick). Parent / Guardians Date: signature:
Entry Fees: Junior Runs £2.00 & Family Run £2.00 per family member (Cheques made payable to Birmingham City Council). The entry fees will go towards the organisation of the event and a contribution to the “Edgbaston Foundation” to fund community, sports and art projects. Entry Forms to: Edgbaston Fun Run, Edgbaston Constituency, Harborne West, 326 High Street, Harborne, B17 9PU. Fun Run information will be sent out two weeks before the event with instructions on marshalling points and safety information. Please enclose a large SAE. Telephone 0121 464 1953
Entries limited to 500.
Harborne Carnival Official Use: Race no:
Age Group:
Cheque no:
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