STICKER A.F.C.

5 Mile Road Race

Principal Sponsor : ANDREW TOMS, HEWASWATER GARAGE

Saturday 13th June 2015

Start 6.30p.m.

Under U.K. Athletics Rules (Licence Number applied for)

1 MILE FUN RUN

Start 5.15p.m.

Sticker Football Field, Burngullow Park, Sticker, Near St Austell. PL26 7EN

Race 7 in the Cornwall Glass and Glazing Grand Prix Series

Race 3 in the Cornish Grand Prix Under 20 series

Prize List

1st Male (£50) and 1st Female (£50)

Trophies sponsored by St Austell Trophies

1st 3 Male Under 20 and 35 1st 3 Male Vet 35, 40, 45, 50, 55, 60, 65, 70, 75

1st 3 FemaleUnder20 & 35, 1st 3 Female Vet 35, 40, 45, 50, 55, 60, 65, 70

1st 4 Male Teams (6 to count) and 1st 4 Female Teams (6 to count)

*Quality T-shirt and Pearce’s Cornish Pasty to all 5 mile finishers

Race Numbers sponsored by Sandy Hill Physical Therapy Centre

Supported by

J.G.Stephens & Son Plant Hire, Michael Coon –Natural Paving, Hewas Inn, Sticker

Sticker Post Office, 6thSt Austell Guides, Newquay Running Club, Fal Valley Pets, Tommos' Bodyshop, In2 Build, Pengelley Plant Centre,

FIRST NAME...... SURNAME......

ADDRESS...... POST CODE……......

TELEPHONE...... E-MAIL ADDRESS…..………………………………………………………………………………………………………………

DATE OF BIRTH………………………………...……...... AGE ON DAY…………………………...... MALE/FEMALE......

AFFIILIATED : YES/NO...... U.K.A. RACE LICENCE NUMBER………………………………………………………………………………….………….

RUNNING CLUB……......

DATA PROTECTION : The information provided by you on this form will be used solely for the purpose of race results, and identification for health and safety reasons. The information will only be available to members of the results team and appropriate race officials, and will not be passed to any other person or agency.

DECLARATION : I understand that while the organisers make every effort to ensure my personal safety, they will not be responsible for any injury, loss or damage incurred by me during the race.

I am over 15 years of age.

THE USE OF I’PODS, MP3’sS,etc, BY COMPETITORS WILL MEAN DISQUALIFICATION

Signed...... …….Date……......

Please return completed entry form to : Denise Pooley

16 Southdown Road

Sticker

St Austell

PL26 7EW

E-mail entries to

Race Entry Fees : £11.00 Discounted Fee to Affiliated Runners

£13.00 Unaffiliated Runners

Please make cheques payable to Sticker Football Club

Race Numbers can only be collected at Registration

* T-shirts will only be given to those who pre-enter, entries on the night will receive a pasty but not incur a surcharge.

To receive a T-shirt your entry must be with Denise Pooley by Sat, June 7th

Please order your size here (sizes - medium, large. extra large)

Race Enquires to or 01726 61973

Race Website :

ST JOHN AMBULANCE IN ATTENDANCE

Waldon Electrical Shield for the 1st Sticker AFC Finisher

Special thanks to Michael Grigg for the use of his field for race car parking