Forms in pdf -- click here Forms in word -- click here
(Thanks to Murray Lambden for above links)
Isle of Man Centurion 100 Mile/24 hour walk
RWA national long distance race walking Championship 2006,
Centurion Qualifying Race
19 and 20 August 2006 at 2pm
To be held at the National sports Centre, Douglas Promoted by Isle of Man Veteran Athletes Club
Also Includes 20 mile starlight stroll on 19th at 10pm
Official Entry Form
Please complete in BLOCK CAPITALS
SURNAME: FIRST Mr/Mrs/ NAME: Miss/Ms
name (you would like to be known as): .
Address: ..
Date of Age on race day: Birth .. you must be aged 21 on the day of the event
Nationality: .. Tele No.
Club centurion No.
(if any) (if any)
Please indicate t-shirt size:-
xs s m l xl xxl
30/32 34/36 38/40 40/42 42/44 46/48
.. . . .
Entry Fee:
CENTURION 100MILE/24HR WALK AND RWA NATIONAL CHAMPIONSHIP ENTRY FEE .. . £20 or 30 euro
20 mile starlight stroll ENTRY FEE £15 or 20 euro
Presentation will follow after completion of the 100 mile walk
Be advised that numbers may be limited
PLEASE MAKE CHEQUES PAYABLE TO IOMVAC and send cheque together with entry form to: Maureen Cox, 85 Hawthorne Grove, Silverburn, Ballasalla, Isle of Man, IM9 2EB, British Isles. For further information contact Maureen Cox on 01624 822402/e-mail simo.cox@manx.net
ENTRIES CLOSE ON SATURDAY 29 JULY 2006 (no late entries and no refunds)
ISLE OF MAN CENTURION 100 MILE/24 HOUR WALK
RWA National Long Distance Race Walking Championship 2006.
Centurion Qualifying Race
19 and 20 August 2006 at 2pm
Also includes 20 mile starlight stroll on 19 August 2006 at 10pm
RULES AND REGULATIONS
I understand the event is being staged under the IAAF and RWA Rules and the time limit is 24 hours. Numbers must be displayed at all time on front and back of clothing. I declare that I accept the rules of the walk as laid down by the organisers under the RWA National Long Distance Race Walking Championship rules and I will be aged 21 years or over on the day of the race.
I certify that I am medically fit to compete and will provide a medical certificate if asked to do so. I understand that I enter the Centurion 100 mile walk/RWA National Championship race/20 mile starlight stroll entirely at my own risk and that I absolve absolutely and completely the organisers from liability or responsibility for any injury sustained or loss, or damage to property incurred to myself or anyone else howsoever caused.
I agree to follow the route as set out by the organisers and to obey the officials and marshals at all times. I will notify the organisers of my retirement and return my race number at that time. I accept that the race referee has the absolute power to withdraw any competitor considered unfit to continue.
I agree to walk at all times. No pace-making is allowed and no person is allowed to walk, run, cycle or drive in front of me or alongside me. Any supporter seen to impede any participant in any way may result in that supporters competitor being disqualified.
ANY INFRINGEMENT OF THESE CONDITIONS MAY LEAD TO MY IMMEDIATE DISQUALIFICATION.
I certify that I have read the rules and agree to abide by the regulations as set out in these instructions.
Please sign below to indicate that you have read the rules and will abide by them.
Signature of entrant: ..
Date .
Please forward this signed statement, together with your entry form and entry fee to:
Maureen Cox, 85 Hawthorne Grove, Silverburn, Ballasalla, Isle of Man, IM9 2EB, British Isles.
For further information contact Maureen Cox on 01624 822402 or e-mail simo.cox@manx.net
ENTRIES CLOSE ON SATURDAY 29 JULY 2006 (no late entries and no refunds)
WOULD YOU LIKE TO TELL US ABOUT YOUR WALKING ACHIEVEMENTS?
If so list events below:
Event: Distance and Time: