BRITISH MASTERS’ ATHLETIC FEDERATION (BMAF)

MEN/WOMEN’S 20KM RACE WALKING CHAMPIONSHIPS 2017.

HELD IN CONJUNCTION WITH MIDLAND AREA RACE WALKING ASSOC.

Men/Women’s 20KM RACE WALKING CHAMPIONSHIPS

Sunday 9th.July 2017 – Science Park, Warwick University, Coventry.

Changing and Registration at Westwood Track, Coventry Godiva Clubhouse,

Kirby Corner Road, Canley, Coventry CV4 8EE.

START TIME: 12.30PM

Please enter me for the 20km Race Walking Championships.

Date of Birth……day…….month…….year. Age on date of Competition…….years.

BMAF entrants please provide age group…………………….

Name in Full (Block Capitals)……………………………. ……………………………

Surname First Name(s)

Address in Full……………………………………………………………………………

…………………………………………………………………………….

Name of 1st Claim Club/ Registration No. ..…………………………………………………………………..

Masters/Veterans/ Club/Assoc………………………………………………………………………

I enclose my entry fee……………………………………

I hereby agree that the organisers shall not be liable for any accident, injury, loss or damage as a consequence of my participation in the event.

Signature………………………………………………… Date……………………….

Entry with fees to: Glyn Jones, 54 Ridge Street, Wollaston, Stourbridge,

West Midlands DY8 4QF

Or:

Email to:

Entry fee: Individual - £10.00p.

Non Affiliated B.M.A.F. – Entry fee: £12.00p. No Team fee.

Please make cheques payable to ‘RWA Midland Area’

Cash payment on day is acceptable.

Closing date for entries is Wednesday 5th.July 2017. Entries on the day will not be accepted.