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LEGENDARY 21 MILE TRAIL RACE WITH FREE HILLS! Race HQ Queen Elizabeth Country Park, Gravel Hill PO8 0QE Minimum age 18 years on the day of the race Entries to Teresa Baverstock, 21 Appleton Close, Waterlooville, Hampshire PO8 0ZG Online entries www.runnersworld.co.uk or www.runningdiary.co.uk Email [email protected] Race hotline 07810 371411 Closing date for postal entries 9th March 2015 Meon Valley Plod Entry Form Entry Fee £20.00 Affiliated, £22.00 Unaffiliated – non-refundable £2.00 extra on the day (subject to race limit 600) Surname: .............................................. First name: ................................... Address: ............................................................................................................ Post Code: .............................................. Telephone: ................................... Date of Birth: .......................................... Male or Female: ............................ Affiliated Club: ...................................................................................................... Email Address (please print): ................................................................................... Age on Race Day: .................................... Estimated Time: ........................... I ENCLOSE THE ENTRY FEE OF £ .............. Payable to Portsmouth Joggers Club NO SAE REQUIRED I declare that I enter this event at my own risk and that no person(s) will be held responsible for any injury or loss to me prior to, during or after the event and that I am medically fit to participate. SIGNATURE .......................................... DATE ......................................... PORTSMOUTH JOGGERS CLUB The Meon Valley Plod SUNDAY 15TH MARCH 2015 @ 10:30am ARC Permit applied for SAFETY NOTICE: Please note that in the interests of the health and safety, headphones, iPods and other similar devices should not be worn during this event. Participants need to be aware of their surroundings and fellow runners at all times and to listen to instructions from marshals.

PORTSMOUTH JOGGERS CLUB The Meon Valley Plodpjc.org.uk/wp-content/uploads/2014/11/MVP-Entry-Form-2015.pdf · Email [email protected] Race hotline 07810 371411 Closing date for postal

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Page 1: PORTSMOUTH JOGGERS CLUB The Meon Valley Plodpjc.org.uk/wp-content/uploads/2014/11/MVP-Entry-Form-2015.pdf · Email mvp@pjc.org.uk Race hotline 07810 371411 Closing date for postal

LEGENDARY 21 MILE TRAIL RACE WITH FREE HILLS!Race HQ Queen Elizabeth Country Park, Gravel Hill PO8 0QEMinimum age 18 years on the day of the raceEntries to Teresa Baverstock, 21 Appleton Close, Waterlooville, Hampshire PO8 0ZGOnline entries www.runnersworld.co.uk or www.runningdiary.co.uk Email [email protected] hotline 07810 371411 Closing date for postal entries 9th March 2015

Meon Valley Plod Entry Form Entry Fee £20.00 Affiliated, £22.00 Unaffiliated – non-refundable £2.00 extra on the day (subject to race limit 600)

Surname: .............................................. First name: ...................................

Address: ............................................................................................................

Post Code: .............................................. Telephone: ...................................

Date of Birth: .......................................... Male or Female: ............................

Affiliated Club: ......................................................................................................

Email Address (please print): ...................................................................................

Age on Race Day: .................................... Estimated Time: ...........................

I ENCLOSE THE ENTRY FEE OF £ .............. Payable to Portsmouth Joggers ClubNO SAE REQUIRED

I declare that I enter this event at my own risk and that no person(s) will be held responsible for any injury or loss to me prior to, during or after the event and that I am medically fit to participate.

SIGNATURE .......................................... DATE .........................................

PORTSMOUTH JOGGERS CLUB

The Meon Valley Plod SUNDAY 15TH MARCH 2015 @ 10:30amARC Permit applied for

SAFETY NOTICE: Please note that in the interests of the health and safety, headphones, iPods and other similar devices should not be worn during this event. Participants need to be aware of their surroundings and fellow runners at all times and to listen to instructions from marshals.