Supported By: & National Farmers Union

Supported by: & National Farmers Union

& &

ENTRY FORM

Name ………………………………………………………………… Series Race No ……………………

(This will be issued at your 1st race)

Address …………………………………………………………….………………..………………………..

………………………………………………………………………………………………………………...

Post Code …………….. E-Mail …………………………………………………………………………….

Tel.No ……………………………………….. Date of Birth ………………….… Male/Female ………

Club/Sponsor………………………………………………………………………………………………….

Entry fee £10 per round. Maximum of 100 riders per race. Races are open to any rider. Your series race number will be allocated your first race.

Please circle as appropriate: (Your age at first event, you cannot change category during the series)

Category: Youth(12-15) Under23(16-22) Senior(23-39) Veteran(40-49) Grand Veteran(50-59)(60+) Lady (12+)

Counting Round: 1 2345678910

Non-Counting Round:Handicap

Your allocated number is your number for the whole series. Do not lose or forget it, Thank you.

6 rounds needed to qualify for the series.

All races will be Entry On the Line. No pre-entries or online entries taken.

Please carefully read and sign the follow declaration:

Declaration: “I have no medical condition that could restrict me from competition in the Mountain Bike Race and I understand and agree that I participate entirely at my own risk, that I must rely on my own ability in dealing with all hazards and that I must ride in a manner which is safe to myself and others. I agree that no liability whatsoever shall attach to the promoter, promoting club, race sponsors, race officials, members of the promoting club or any person connected with the organisation of the event (including land owners and managers) in respect of any injury, loss or damage suffered by me in or by reason of the race, however caused”

All Under 16s must have parental consent.

Signature…………………………………….. Parental Signature………………………………………….

See over for details of each event. Directions for all locations can be found at

Counting Rounds

Borough Hill

Daventry, NN11 4NA

Mallory Park

Kirby Muxloe, Leics, LE9 7QE

National Bowl

Milton Keynes, MK5 8AA

E-Mail:

Kilworth Springs Golf Course,

South Kilworth. LE17 6HJ

Dean Barnett

6, Great Bowden Road, Mkt. Harborough, LE16 7DE

Tel. No: 01858 434821

E-Mail:

Hicks Lodge: National Forest Cycle CentreWilleslley Woodside, MoriaAshby de la Zouch, LE65 2UP

James Foxc/o Lloyds Cycles Ltd25 West Street, Swadlincote, DE11 9DN

Tel. No: 07907 78173

E-Mail:

East Carlton Country Park

East Carlton, LE16 8YF

Paul Beattie

Spanhoe Aerodrome

Nr Harringworth, Bulwick

A43 Nr Corby, NN17 5AF

Mallory Park

Kirby Muxloe, Leics, LE9 7QE

Non Counting Round

Kilworth Springs Golf Course,

South Kilworth, LE17 6HJ