your home for traditional music KILLYCLOGHER 10K ROAD RACE + 5K FUN RUN & WALK SATURDAY 23rd MAY 2015 @ 11.00am PERSONAL BEST (PB) COURSE CHIPPED TIMING T-SHIRT for FIRST 200 ENTRANTS OTHER SPONSORS: PIZZARAMA • O’KANE BROS LTD ESTATE AGENTS • FERNAGH SHEDS • WW TYRES • MAGUIRE WHOLESALE • RTC DIRECT • MCDERMOTT’S BUILDERS MERCHANTS • SIGN RITE • CALDWELL CYCLES • CORE PHYSIO & FITNESS HOME DECOR • CONOR O’NEILL CONCRETE • CULMORE DINER • OMA RENTALS • BRADLEY’S PHARMACY CALBRO • SIGNAL SIGNS • DIMAC PITCH MAINTENANCE • O’KANE COMMERCIAL • DREAMLAND BEDDING MCFADDEN CIVILS • MARCOR LTD • LOG CABINS • GORTRUSH TRADING • MCKENNA SWEENEY MCKEOWN (MSM) SOLICITORS • MCELHOLM & CO CHARTERED ACCOUNTANTS • MEENAN BUILDERS JOHN MCCAFFREY SOLICITORS • MAC AV • FLOORS DIRECT • CUSTOM CABINETS • WINTERS RENEWABLES RACE CHARITIES: Killyclogher GAA Clubrooms, Ballinamullan, 36 Drumnakilly Rd, Omagh, Co.Tyrone, BT79 0GZ DATE: SATURDAY 23rd MAY TIME: 11.00am 10K PRE ENTRIES £10 (Adult) £5 (16-18 yr olds) 10K ON THE DAY ENTRIES £12 (Adult) £5 (16-18 yr olds) 5K RUN & WALK Donations only PRE ENTRIES CAN BE POSTED TO Niall McKenna 28 Gortin Road, Omagh Co.Tyrone, BT79 7HX [email protected] (Cheques payable to Killyclogher GAC) ENTRY FORM SURNAME: FIRST NAME: D.O.B.: AGE ON THE DAY: MOBILE: EMAIL: MALE T-SHIRT SIZE: SMALL MEDIUM ATHLETICS CLUB (IF ANY): Please select one category from the list... FEMALE LARGE SIGNATURE: FEMALE OPEN MALE OPEN FEMALE 16-18 MALE 16-18 5K FUN RUN FEMALE 40+ MALE 40+ 5K WALK FEMALE 50+ MALE 50+ FEMALE 60+ MALE 60+ DECLARATION: I understand that participating in this event is potentially hazardous, and that I should not enter and participate unless I am medically able and properly trained. In consideration of the acceptance of this entry, I assume full and complete responsibility for any injury or accident which may occur while I am traveling to or from the event, during the event, or while I am on the premises of the event. I also am aware of and assume all risks associated with participating in this event, including but not limited to falls, contact with other participants, effect of weather, traffic, and conditions of the road. I agree that no liability what so ever shall attach to Killyclogher/Cappagh GAA, Race Sponsor, any Race Official or any Member of Killyclogher / Cappagh GAA in respect of injury, loss or damage suffered by me in or by reason of the event, however caused. Participants in this Event are not covered by the GAA Player Injury scheme. Each individual should ensure that they have cover in place in the event of an accident as per their own individual requirements. Use of IPods: The organisers strongly advise against the use of an Ipod / Earphone or a similar device whilst participating in the event. You may not be able to hear instructions or safety warnings from our stewards. Be aware that even closed roads will have course vehicles and Emergency vehicles passing competitors. IF YOU CANNOT HEAR, YOU ARE IN DANGER. PRIZES AWARDED 1st, 2nd & 3rd (Male/Female) 1st Over 40’s (Male/Female), 1st Over 50’s (Male/Female) 1st Over 60’s (Male/Female) 1st U-16 Years Enda Dolan Trophy 1st 16 –18 Years (Male/Female) Various Prizes for 5k Tick for Gift Aid By using Gift Aid you can make your donation worth more. For every Pound you give us, we get an extra 25 Pence from HMRC www.omaghprinting.com 028 8224 1380 TITLE:
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