Marcus Gynn Newmarket 10k 2019 SENIORS

Race run under UK Athletics rules, license number 2019-36913. No music/MP3 players permitted.

Sunday 7th July 2019 at 10am. £15 affiliated and £17 non-affiliated runners. (Note that this form is for the 10k race only, not the fun run.)

Entrant details
Name:
Address:
Postcode:
Email:
Telephone number:
Date of birth:
Age on race day:
Gender:	Male Female
Club:	This is an affiliated club.
UKA number (if affiliated):
Extra: If transferring, please enter original runner:
In case of emergency
Friend/relative name:
Friend/relative Phone:
You must provide this information if you have a condition that may affect you whilst running or those running with you. This information will be kept confidential, but if your condition is sensitive or if you would rather not fill in this online form you are welcome to speak directly to a club official instead. Please write "none" if you have no known health issues:
Medical issues:
Athlete declaration
I declare that I am medically fit to take part in this event and understand that I enter at my own risk, and that the organisers shall not be held responsible for any injury, loss, damage, or action claim as a consequence of my participation in this event. I am an amateur as defined by UK athletics and agree to be bound by their rules. I will comply with all instructions given by the race marshals and police. I agree that my details may be stored on computer for the purposes of administering this race, and that my name and club may be published online in the list of race entrants and race results.

Newmarket Joggers' on-line payment processor is NoChex. After completeing this form, you will be passed to NoChex, who will take your credit or debit card details. Please be assured that at no stage do Newmarket Joggers have access to your card details.