ZSL Whipsnade Zoo Stampede

Zoo Stampede 2k Fun Run

Sunday 8th June 2014

This form must be signed by a parent or guardian if the 2k participant is under the age of 18

Forename / /
Surname
/
Address
Postcode /
Tel No / E-mail address
Date of Birth / Age on 08/06/2014
Are you a member of a UK Athletic Club membership (If yes, please state name of club)
Are you a ZSL member? (Please circle as appropriate) / YES / NO / MALE / FEMALE

Please print all details of the participant

“Please accept my entry for the ZSL Whipsnade Zoo Fun Run. I will be over 4 years on race day and medically fit to compete. I accept that I enter at my own risk and that the organizers will in no way be held responsible for any injury, accident, loss or damage that may arise before, during or after the event as a consequence of my participation in this race. I consent that my details will be held by The Zoological Society of London in accordance to the Data Protection Register”

Entry fees: Cheques payable to “Zoological Society of London”

All profits from the event will go to the Zoological Society of London

Fun Run entry fees / ZSL Child Member under 15yrs: £16
/ Child under 15yrs: £20

(Price includes entry to ZSL Whipsnade zoo)

I enclose my remittance of £______

Signed (Parent/Guardian)………..………………………….……Date………………

Send Entry to: - Sarah Knowles, Development Officer, The Zoological Society of London, Regents Park, London, NW1 4RY

Email:

Supporting information;

·  Organised by Zoological Society of London, all profits will be donated to ZSL.

·  The 2k Fun run starts at 11:00 a.m.

·  The 2k Fun run Limit is 200 participants

·  The fun run is open from 4 years-15yrs of age

·  Entries on the day are subject to the event selling out beforehand. Please contact Sarah by 01 June 2014 if you think you would like to register on the day

·  Start and finish at the ZSL Whipsnade Zoo, Whipsnade, Bedfordshire

·  Toilets, Parking, Bag storage, Refreshments.

·  Medal to all finishers.

·  Course not suitable for wheelchair competitors.

Please note spectators will need to pay the entrance fee into the Zoo. Please see website for further details.