Rotary Club of Nailsea & Backwell
Registration Form (WR2)
The Six th Annual
Nailsea Charity Walks & Runs
Sunday 2 5 th June 201 7 from the Scotch Horn Centre
Please give the following details, which will remain confidential
Name………………………………………………………………………
Address…………………………………………………………….....…
Post Code………………..
LandlineTelephone……………….. Mobile ………………........
e-mail address………………………………………………………...
please make sure your initials, house number and post code are entered above so that charities can reclaim tax under Gift Aid
Name of the Charity that you are supporting
……………………………………………………………………………..
Please delete as applicable: are you Walking / Running
Approx start time: .............................. (for guidance only - we will not hold you to this time!)
Scotch Horn desk opens at 8.15 am. Start time from 8:30 am Which route are you going to do? (Please tick the appropriate box).
Nailsea 5K The Stroll latest start 2:30pm
The Nailsea 10K latest start 12 noon
The Nailsea 20K Challenge latest start 10:30am
Return this form with your ￡6 registration fee (the ￡6 fee is payable for each adult age 18 and over) to Graham Hunt at 14A Church Lane, Backwell, Bristol BS48 3PQ by 24 June 2016.
(Cheques payable to “Rotary Club of Nailsea & Backwell”).
You can register (and pay) online or download additional forms from the club website – simply enter “Rotary Nailsea” into your search engine to find us! Or call 07970 771845.
NB: CHILDREN MUST BE SUPERVISED APPROPRIATELY
WE STRONGLY ADVISE EACH PARTICIPANT / GROUP OF PARTICIPANTS TO BRING A MOBILE PHONE.
RUNNERS WILL NOT BE TIMED; THE EVENT IS NOT COMPETITIVE.