Perran Sands Dash 2014

Sunday 6 July 2014

Registration Form

You can also register for Perran Sands Dash 2014 online at

This multi terrain 4 mile beach run starts at Chapel rock at low tide and heads straight to the Penhale end of Perranporth beach. Turn at the cliffs and head back to the Haven Holiday Park steps, up onto the South West coast path , over the cliff and back down onto the beach to the finish line.

A multi terrain race with a challenging climb at the end!

The start line is at Chapel Rock on Perranporth Beach

On the route follow the direction indicators or Marshals instructions

Please keep to the footpath on the cliff section of the route

All 4 mile runners must be over the age of 15 yrs

Prizes

First 3 male and female-

First 3 team male and female

First 3 under 35, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70+

Fun runners who would like to be on the results table will need to collect a race number when they arrive

First 3 kids fun run ages 0-5, 6-8, 9-11,12’s, 13’s, 14’s 15’s (with race numbers)

All entrants to both races will receive a memento on finishing (not guaranteed for late entrants)

4m runners will also receive a goody bag.

Race Entry Form: Perran Sands Dash 4 mile race/ Kids 1 mile fun run (Please circle)

Surname______Address______

First Name______

Date of Birth / / Postcode______

Age_____Telephone______

Male or Female (please circle)Email______

Affiliated Yes/No (please circle)

UKA number______Club name______

Medical conditions______

Race entry fees

Affiliated runners £8.00

Non-affiliated £10.00

Fun Run entrants (age14 and under unless accompanying a child) £3 each or £5 per family

Entries on the day are allowed and there will be an additional £1 fee payable.

Data Protection: The information provided by you on this form will be used solely for the purpose of compiling race results and for health and safety reasons. The information will only be available to race officials and will not be passed to any other person or agency.

I understand that while the organisers will make every effort to ensure my safety, I accept any risks involved and they will not be responsible for any injury loss or damage suffered by me while participating in this event. I declare I will be medically fit, over 15 years of age on Sunday 29th June 2014 and abide by UK Athletic rules for this event.

Signed______Date______

Total Fee enclosed______

Parent or guardian to sign if under 18 years old.

Closing date for postal entries Wednesday 2nd July 2014

Please complete the entry form above and send with a cheque made payable to ‘Friends of Perranporth School’ to

J.Salmon

87Tregundy Road

Perranporth

TR60LL

Any queries please email Jenny at

Mobile 07837350462

Race numbers can be collected between5pm and 6 for the fun run and 5pm and 7pm for the 4 mile race