Hertfordshire Association of Athletic and Running Clubs
ENTRY FORM FOR TRACK AND FIELD CHAMPIONSHIPS 2004
To be held at
.........................................(track) on...................................(date)
(separate
forms to be used for different days)
official use only No................
please complete all of this form in BLOCK
CAPITALS
SURNAME .................................….… FORENAME(S)
.............................……….......
ADDRESS .................................…………………………………………………………………….
….................................……………………………………………….…………….……
Post code .............…….….
Tel.no ..............................
e mail.........................…………………..
CLUB/SCHOOL ......................................................................
I wish to enter the following
events;
best performance
age group man/woman/boy/girl
..........................
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.................... (pto if
necessary)
Date of Birth
........................
Place of Birth .......................................
(Please complete the following if you were not born in Hertfordshire;
I
have continuously resided at ....................................................................................since
.................................... )
I declare that I am an amateur
qualified to compete under the laws of UKAthletics
SIGNATURE ........................................ DATE
...................... ENTRY
FEE ENCLOSED £............
do not send coins by post
No late entries will be accepted
Cheques payable to Herts County AAA
A
timetable, as acknowledgement, will be sent provided that a first-class stamped
self addressed envelope accompanies this entry
PLEASE
SEND ENTRIES TO THE OFFICIAL NAMED BELOW
FOR THE EVENT YOU ARE ENTERING
MAIN CHAMPIONSHIPS (16 May)
Womens entries to
Fred Ward, 1 Pimlico, Hemel Hempstead, HP3 8SH
Mens entries to
Margaret Powell, 18 Whitechurch Gardens, Letchworth, SG6 2AU
Veterans & 1500m
(3 May) entries to
Sally Gandee, 4 Westfield Road, Hertford, SG14 3DJ
U13 Pentathlons and 3000m entries to
Fred
Ward, 1 Pimlico, Hemel Hempstead, HP3 8SH
10000m
entries to
Roy Stratton, 263 Larkshall Road, Chingford, London E4 9HY
U15 Pentathlons, Hep/Oct/Decathlon entries
on Combined Events entry form to Roy Stratton as above.
May
3
|
1500m,
Veterans
|
Hemel Hempstead |
closing
date 23/4/04
|
|
May 16 |
Main championships |
Watford |
closing date 26/4/04 |
|
July 4 |
U/13 Pentathlons & 3000m |
Hemel Hempstead |
closing date 29/6/04 |
|
Sept 25/26 |
Decathlon, Octathlon, Heptathlon |
Watford |
closing date 17/9/04 |
|
Sept 25 |
U/15 Girls Pentathlon |
Watford |
closing date 17/9/04 |
|
Sept 26 |
U/15 Boys Pentathlon |
Watford |
closing date 17/9/04 |
|
Sept 26 |
10000m |
Watford |
closing date 17/9/04 |
Entry Fees
Individual single events, £2.00 each event
Pentathlons £3.00
Hep/Oct- U17W/M £4.00
Heptathlon U20W/S/V £6.00
Decathlon U20/S/V £7.00