Enter Poultry Run Online

Fees: UKA Affiliated athlete £13.00, Unattached athlete £15.00.

There is an online entry fee of £1.00p. Please fill in all the details. Items with a * are mandatory.
We accept PayPal including major debit and credit cards. Online entries close at noon on 14th December, but you will still be able to enter on the day.

Poultry Run 2017 Online Entry

Name*
First Last
Address line 1*
Address line 2
Town*
County
Post Code*
Email*
Enter Email Confirm Email
Phone Number*
Gender*
- Male
- Female
Date of Birth*
dd/mm/yyyy (You must be over 17 years old to compete in this race)
Age on Race Day*
Affliation*
- UKA Affiliated Athlete: £13
- Unattached Athlete: £15
Online entry fee
£ 1.00
UKA Club
Reg. No.
Agreement*
- I agree to the following:
I wish to enter the 2017 Poultry Run. I declare that I am an amateur as defined by U.K.A. rules and that I am over 17 years of age on the race date. I am medically fit to run approximately 8 miles on a multi terrain course. I certify that the organisers cannot be held responsible for loss, injury or illness incurred to my person during or as a result of my participation in the race referred to on this entry form. I understand that my entry details will be stored on a computer.
Phone
This field is for validation purposes and should be left unchanged.