Athletics Nelson proudly presents the 35th annual Nelson Shoe Clinic Half Marathon also featuring... Quarter Marathon Run & Walk and 5km Fun Run & Walk SUNDAY 3 MAY 2015 www.athletics.nelson.co.nz/nelsonhalfmarathon Entry Form Half, Quarter Marathon & 5km Enter on-line at www.athletics.nelson.co.nz/nelsonhalfmarathon Please print clearly in CAPITALS Name Address Male/Female Age on race day ............................. default grade is Senior e-mail Phone Emergency Contact Name Enter on-line at www.athletics.nelson.co.nz/nelsonhalfmarathon Early Bird Entry on or before 28 February 2015 Half Marathon (21.1km) Quarter Marathon (10.55km) Entry after 28 February 2015 Half Marathon (21.1km) Quarter Marathon (10.55km) Fun Run (5km) Fun Run (5km) 14 years & under Add late entry fee (after Sunday 26 April) START/FINISH - Saxton Field all weather track • Event suitable for all, beginners and recreational athletes to serious competitors ENTER ONLINE: (Preferred method) visit www.athletics.nelson.co.nz/nelsonhalfmarathon If you do not have access to the internet or a credit card, you can fill out this entry form and post it with a cheque to: � Walk � Run � Walk � $45.00 $40.00 Walkers - Entrants must elect whether they are Runners or Walkers. The Walk events are open to any style of walking,but walkers must not run. Entrants wishing to jog/walk enter as Runners � Walk � Run � Walk � Run � Walk � Run � Walk � � $55.00 For safety reasons no headphones to be worn. $55.00 Age Limit for half marathon - Parent or guardian must sign entry form for any participant under age 16 Run Run $45.00 $40.00 $50.00 $50.00 $20.00 Nelson Shoe Clinic Half Marathon PO Box 480 Nelson, 7040 I understand that I am entering this event at my own risk. I agree to read and adhere to all race instructions and rules. $20.00 signed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12.00 date. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $12.00 $10.00 Business & group discounts available on email request *Join Athletics Nelson and get a discounted entry to the event - email for details one form per person photocopies accepted admin fee of $15 applies to any refund - no refunds after Wednesday 22 April AN Phone Late Entries Close Saturday 2nd May - 4.00pm NO ENTRIES WILL BE TAKEN ON THE DAY Cheques payable to Athletics Nelson - Post to Nelson Shoe Clinic Half Marathon P.O. Box 480 Nelson, 7040 or deliver to The Shoe Clinic Bridge Street Nelson (cash or cheque only no eftpos available at the Nelson Shoe Clinic) Bottle of Waimea Estate wine for all Half Marathon and Quarter Marathon entrants* 18 & over (*juice for those under 18) also a Subway Sandwich for all entrants including the 5km Race packs available at Nelson Shoe Clinic (84 Bridge St) on Friday 1 May 12noon - 6.00pm and Saturday 2 May 9.00am - 4.00pm
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