BMAF WEIGHT PENTATHLON CHAMPIONSHIPS

Organised by the South East Counties Throwers Association

STANTONBURY STADIUM.  PURBECK.

MILTON KEYNES.  MK14 6BN.

SUNDAY 15th JUNE 2008

(Under UKA/IAAF/WMA Rules)

 

ENTRIES CLOSE 1st JUNE 2008

 

 Hammer – Shot – Discus -  Javelin – H / Hammer

 

Entry Fee: Affiliated: £18.00.   Non-affiliated:  £21.00 ( Which is non-refundable )

CHEQUES PAYABLE TO: ‘ SECTA ‘

First event 10.00 am

 

  ENTRIES SEC.  255 Tubbenden Lane South.  Orpington.  Kent. BR6 7DW

 

(A5 SAE for Confirmation & Instructions)

 

Postal stamps are NOT acceptable as payment of entry fees

MALE …………..                                                                                              FEMALE……………..

 

Please use capital letters

 

Surname___________________________________First Name________________________

 

Address___________________________________________________________________

 

             ___________________________________________Post Code___________

 

Date of Birth_____________________________________Age Group for Event_________________

 

E-Mail Address____________________________________________________________________

 

Telephone No. Home______________________________________Work______________________

 

First Claim Club_____________________________________________________________________

 

BMAF Affiliated Club: EVAC……….MVAC………NVAC……….SCVAC……….SWVAC………

 

                                        SVHC………...VAC. ………WMAA……….(Please tick ONE ONLY)

 

Membership Number:______________________________

 

(FOR NON-AFFILIATED MASTERS ATHLETES ONLY)

I enclose a copy of my driving licence / or copy of my birth Certificate / or copy of my Passport details.

I hereby agree that the organisers shall not be liable for any accident, injury, loss or damage as a consequence of my participation in the BMAF 2008 Outdoor Weight Pentathlon Championships.

 

Signed_______________________________________________             Date___________________