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

Round 1
CATS MBC / May 8th /
Borough Hill
Daventry, NN11 4NA
/ Neil Holman
44, East Street, Market Harborough, LE16 9AE
Tel. No: 01858 440261
E-Mail:
Round 2
Rugby Velo / May 15th /
Mallory Park
Kirby Muxloe, Leics, LE9 7QE
/ Peter Mooney
123 Yates Avenue, Rugby, CV21 1DF
Tel. No: 07939 627477
E-Mail:
Round 3
TREADS CC / May 22th / Delapre Abbey
London Road
Northampton, NN4 8AW
/ Lee Attwood
15 St Peters Way, Weedon, NN7 4QJ
Tel. No: 01327 342428
E-Mail:
Round 4
Team MK / June 5th /
National Bowl
Milton Keynes, MK5 8AA
/ Steve Dicks,
26 Ranelagh Gardens
Newport Pagnell, MK16 0JP
Tel. No: 07808 887328
E-Mail:
Round 5
Welland Valley CC / June 19th /
Kilworth Springs Golf Course,
South Kilworth. LE17 6HJ
/
Dean Barnett
6, Great Bowden Road, Mkt. Harborough, LE16 7DE
Tel. No: 01858 434821
E-Mail:
Round 6
Lloyds Cycles / June 26th /

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:

Round 7
Rockingham Forest Wheelers / July 3rd /

East Carlton Country Park

East Carlton, LE16 8YF

/

Paul Beattie

c/o Rockingham Forest Wheelers
11 Ashley Road, Middleton, LE16 8YP
Tel. No: 07824 537178
E-Mail:
Round 8
CATS MBC / July 10th /

Spanhoe Aerodrome

Nr Harringworth, Bulwick

A43 Nr Corby, NN17 5AF

/ Martyn Bevan
Butterside Down, Mawsley Lane
Loddington, Kettering, NN14 1LB
Tel No: 07502 317193
E-Mail:
Round 9
Cycling Mallory / Aug 7th /

Mallory Park

Kirby Muxloe, Leics, LE9 7QE

/ Chris Hewgill
c/o Cycling Mallory, Mallory Park, Kirby Muxloe, LE9 7QE
Tel. No: 07896 854157
E-Mail:
Round 10
Kettering CC / Aug 15th / Rothwell Community Centre
Well Lane Rothwell
NN14 6DG
/ Mark Evans
51 Cherry Hill, Old, NN6 9EN
Tel. No: 07802 8202187
E-Mail:

Non Counting Round

Handicap
Fancy Dress
CATS MBC / Aug 21st /

Kilworth Springs Golf Course,

South Kilworth, LE17 6HJ

/ Neil Holman
44, East Street, Market Harborough, LE16 9AE
Tel. No: 01858 440261
E-Mail: