Running entry

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Harriers entry form
for local races

Please enter your details below and pay at the race.

Entries Friday between 5-7pm
at Harriers Clubhouse and from
5.30am on Saturday at the race.

Walkers start at 6.30am and runners at 7am

Cut off time 3h30

Contact Theo at 0828734597 or
Patrick at 0824417805

Race Name

Race Date

Distance

Walking or Running

Age

Your Club

Licence No

Licenced

Gender

Id No

Name

Surname

Address

Town / City

Cell No

Emergency No

Emergency Contact

Medical Aid

Medical Aid No

I am aware that I take part at my own risk and
indemnify the organisers and the sponsors against
any claim that might arise from my participation.
I undertake to abide by all the race rules and
traffic regulations, when pressing the submit
button below.

enter what you see on screen