Proudly present Dr Dick Blackburn’s DK10K Road Race Wednesday 6th May 2015 Race Starts 7:15pm Dudley Kingswinford Rugby Club, Swindon Rd, Wall Heath, Kingswinford, West Midlands, DY6 0AW Running Technical Tee Shirt for all finishers Chip Timing Gold Standard Race UKA License 2015 – 2015-12493 Free Race photographs Quiet country roads – Some Traffic Free Race limit 1000 runners Food available after the Race Bar Open Prizes in Many Categories On line entries at www.RunBritain.com Course Measurement Cert No: 10/140 Children’s Entertainment – Bouncy Castle Supporting Charity Cardiac Rehabilitation in Dudley Registered Charity No 518586 Action Heart can offer sponsorship incentives: £50 Raised- Adidas Sweatshirt £100- Adidas Running Shoes NO ENTRIES ON THE DAY More information on www.dkrunningclub.co.uk Help Email Address [email protected] Sponsors of DK10K Road Race THE PARK TAVERN Cot Lane, Kingswinford DK10K Road Race Wednesday 6th May 2015 First Name ………………………Last Name………………………Male/Female (delete as req) Address……………………………………………………………………………………………………………. Town………………………………………………………….County…………………………………………. Post Code………………………………………….Age on Race Day……………………………….. Date of Birth……………………………………...Tele Phone No:…………………………………. Affiliated Club Name………………………………..UK Athletics Reg No:………………….. E Mail Address ………………………………………… Tee shirt Size...XS…S… M…L…XL… Mobile No:………………………………………… All entrants must be over 16 years of age. I understand that I am an amateur as defined by UK Athletics & MCAA rules. I am medically fit to take part and I accept that the organizers will not be held responsible for any loss, damage, illness or injury directly or indirectly as a result of taking part in this event. Please note NO REFUNDS will be given Athlete Signature …………………………………………………………. Ample Parking, Changing Showers, Bar, Refreshments Entry Fee – £13 Affiliated to UK AAA Club- £15 Un-Affiliated No Entries on the Night Entries to Send an A5 Stamped addressed Envelope to: Mrs S Brain, DK Race, 35 Elgar Crescent, Pensnett, Brierley Hill, West Midlands, DY5 4JJ Cheques Payable To: DK RUGBY CLUB Enter On Line at WWW.RunBritain.com Chip Timing By www.thresholdevents.co.uk Gold Standard Race License 105220
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