Lochaber Athletic Club General Entry Form

I would like to enter ...........................................................................................

Event Date ..........................................................................................................
First name Surname
Address
Postcode Tel
Date of Birth Email
Athletic Club If unatached enter U/A
SAL No. If not a member of Scottish Athletics, leave blank
Male
Female
Age Male
Age Female
Declaration:
I understand that the organisers shall not be liable for any loss, damage or injury which I may suffer, and which may arise directly or indirectly before, during or after the race.
I agree to abide by the rules of the S.A.L./ B.A.F. I am medically fit and will be over 18 years old on the day
of the race
I enclose my entry fee of £................... S.A.L registered or £....................... Non S.A.L. registered
Cheques/ P.O. payable to Lochaber Athletic Club

Signature……………………………………………………. Date…………………….

Please print out this form and and Send to:-
D.MacDonald, 11 North Corran, Ardgour,
By Fort William PH33 7AA
Tel:- 01855 841276 Email:- dugie@lochaberac.fsnet.co.uk
Cheque/ P.O. Payable to Lochaber Athletic Club. Please enclose S.A.E.