Strathaven Striders

The John Lucas Memorial 50 Mile Ultra Run

Sunday 24^th August 2008@ 8 a.m.

Entry is open to Male & Female Athletes aged over 21

Entry Form

Forename:……………….. Surname:…………………

Address:………………………………………….…………

Town: …………………... Postcode:..….…………….

Tel: ………………………

E-Mail:..…………………………………………………….

Gender: Male Female

Date Of Birth:………………

Age On Race Day (Sunday 24^th August) :…………………

S.A.F. Number: ………………….

Previous Bests :

Marathon ……….. 50k : ……………..

100k :……………. Other : ……………

Entry Fees

S.A.F registered £18 Non S.A.F registered £20

T-Shirt size : ………………

I wish to enter the John Lucas Memorial Run and understand that I do so entirely at my own risk, and that the organisers shall not be responsible for any injury or mishap to others or myself. I confirm that I am fit to run and will comply with S.A.F. Rules

Signed………………….. Date…………………….

Please and return to Irene Wilson

Brookfield Cottage

5 Threestanes Road

Strathaven

Scotland

ML10 6DX

Telephone 01357 520141 E –Mail hotfootirene@hotmail.com