Rowbotham's Round RotherhamIndividual Entry

This form is for pre-entries
(or print the postal entry Adobe Acrobat version)
Post to RRR Entries,Field Cottage, Biscay Lane, Wath-on-Dearne, Rotherham. S63 6PT, with your fees
Entry enquiries 01709 878959
Enclose SAEs (minimum A5 / 230×160 mm - if larger use Large stamp). Unless indicated (top left corner of envelope), the first SAE will be used for confirmation and details, with the 2006 description of route and map for first-time entrants or if requested. If provided, second SAE will be used for results. If no SAE is supplied or after 25th Nov, it is assumed you will get any information you require from the website.

Date: Second Saturday in December

Start and Registration atthe DVC Sports, as for 2006.
ManversPark, Wath upon Dearne, Rotherham S63 7EW,Grid Ref SE 455003
The College is signed from the Manvers roundabout (SE 454008) on the A6023.

Name (first name and surname)
Club (for Team competition)
1st claim athletics club (or TRA, FRA, RRC)
Start time (please circle) / Walkers 06:00 - Runners 07:00
Have you done this event before? / (Approx.) No. of finishes:
If none, have you entered or started before?
Male or Female
Age on day (Absolute minimum 18 years)
(please contact organiser if under 21)
Date of Birth
Sleep at the Event Centre on the Friday night (7 Dec)? – additional fee £4.00
Shirt size S, M, L, XL for commemorative leisureware
Fee (please circle) Cheques to RHAC / Attached to UK: Athletics £10.00
Sleeping:£14 / Unattached/ LDWA
£11.00
Sleeping:£15 / Late entries, after 3 Dec £15.00
Sleeping:£19

I absolve the Organisers and Rotherham Harriers and Athletics Club from responsibility for my safety in the Round Rotherham event. I understand that TRA/UK:Athletics rules apply. I understand that entries and results will be processed by computer and that the data will only be used in connection with the Round Rotherham event. Retirement must be reported to an official at a checkpoint or the Event Centre. Entries can only be accepted subject to these conditions.

Signed: ______Date: ____ / ____ / 20___

Addresses (postal, with post code)

e-mail (please write clearly):

Vehicle Registration and Type
Travelling Companions
Home Telephone: ( in case of emergency)
Mobile Telephone (if carried):