Bristol Company Challenge - Bristol Half Marathon

Bristol Half Marathon
Bristol Evening Post Company Challenge
Application (ALL CAPITALS)
Ensure all team members details are on this form
and all members sign the declaration at the end.
Entry fee:
£30 per person if a member of a UKA affiliated club
£32 per person if not a member of an affiliated club
Free T shirt to all finishers
Please indicate quantity of each size required:
S 35-37 M 38-40 L 41-43 XL 44-46
A race pack with your numbers and ChampionChip
will be sent to you by post just before the race.
SECTION 1 To be completed by Team Captain
Name of your Company Challenge team:
Company name:
Company address:
Email address:
Telephone: office
mobile
If you would like to receive
a fundraising pack from
our official charities please
tick box. Information about
the charities is available
on the race website:
CLIC Sargent
St Peter’s Hospice
Coco
Team Captain’s information
1. Name:
Date of birth: / / Male Female
Fee payable: £
Are you employed by the company? Yes No
Emergency contact name:
Emergency contact number:
Running club:
UKA reg no:
Estimated race finish time for this race:
All team members should notify FR Systems on
01782 396113 prior to the event if they have any
medical condition and provide the health information
requested on the back of their race number.
SECTION 2 To be completed by all other team members
2. Name:
Email:
Date of birth: / / Male Female
Fee payable: £
Are you employed by the company? Yes No
Emergency contact name:
Emergency contact number:
Running club:
UKA reg no:
Estimated finish time for this race:
2. Name:
Email:
Date of birth: / / Male Female
Fee payable: £
Are you employed by the company? Yes No
Emergency contact name:
Emergency contact number:
Running club:
UKA reg no:
Estimated finish time for this race:
2. Name:
Email:
Date of birth: / / Male Female
Fee payable: £
Are you employed by the company? Yes No
Emergency contact name:
Emergency contact number:
Running club:
UKA reg no:
Estimated finish time for this race:
2. Name:
Email:
Date of birth: / / Male Female
Fee payable: £
Are you employed by the company? Yes No
Emergency contact name:
Emergency contact number:
Running club:
UKA reg no:
Estimated finish time for this race:
2. Name:
Email:
Date of birth: / / Male Female
Fee payable: £
Are you employed by the company? Yes No
Emergency contact name:
Emergency contact number:
Running club:
UKA reg no:
Estimated finish time for this race:
Total team fee £
£30 / £32 per person (maximum of six people)
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