Log Jog On Line Entry Form

Brandon Half Marathon
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Wibbly Wobbly Log Jog
- Further Information
- Results
  - 2008
  - 2007
  - 2006
  - 2005
  - 2004
  - 2003
  - 2002
  - 2001
  - 2000
- 2008 Entry List

This page last updated:- Tuesday, July 29, 2008 16:17

Log Jog On Line Entry Form

If you have previously filled in an online entry but had PayPal difficulties, you can go straight to the payments page again here

Please fill in all fields marked with a *
First Name*		Surname*
Address*		Gender*
		Date of Birth*
Town/City*		Age on Race Day*
County*		Contact Phone Number*
Post Code*
E-mail Address*
Are you a member of an ARC, or UKA/EA affiliated club?*
Club Name
T-Shirt Size Required*
Please enter me for the "2008 Wibbly Wobbly Log Jog", for which I will pay the appropriate fees. I am an amateur as defined by ARC and agree to bound by their rules. I confirm that I am medically fit to compete, and understand that the organisers of this event will not be held liable for any injury, loss or illness, however occasioned, resulting from this event. Brandon Fern Hoppers will keep your e-mail address to inform you of future Fern Hopper events. If you would prefer NOT to receive these details, please uncheck this box Your e-mail address will not be passed onto any other organisation or third party. Please note that in pressing the "Enter" button, you agree to your, Name, Club, Age Catagory and T-Shirt size to be electronically stored by Brandon Fern Hoppers, for administration and results purposes only. Your details will not be passed to any other organisation or third party, other than as results of this race.