Guide Dog Gallop NEW!

Entry Form
Sunday October 26th 2008
A country fun run near All Saints, nr Axminster
In aid of Guide Dogs for the Blind (Registered Charity No. 209617)

Please report to the Village Hall in All Saints at least 15 mins before race start times (no entries after that
time). Entries on the day are 50p extra. Race numbers/pins issued on the day. Spectators and supporters
welcome. Find out about Guide Dogs and enjoy refreshments in the Village Hall. Some parking at Village
Hall or along nearby roads. 1st, 2nd, 3rd prizes for M/F in each race, certificates for all.
Races are:
PUPS (11yrs and under) X-BREED (17 yrs and under) PEDIGREE (17 yrs and over)
2 miles approx, multi-terrain 3.5 miles approx, multi-terrain 7 miles approx, mainly road
Entry fee: £2 Entry fee: £3 Entry fee: £5
Start time: 11:30am Start time: 10:30 am Start time: 10:30 am

Please send form below plus payment (cheques made payable to ‘Guide Dogs for the Blind Association’) to:
Mr Chris Barrett
Tussocks
Goldsmith Lane
All Saints
Axminster, EX13 7LU Telephone: 01297 34435, chris.barrett2@tiscali.co.uk
 …………………………………………………………………………………
Guide Dog Gallop Oct 26th 2008
Please tick the race you would PUPS X - BREED PEDIGREE
like to enter

Surname (capitals please) First Name M/F DOB (d/m/y) Age on race day

Address Please state your running club name, if you

have one and/or the school that you attend

Postcode:
Telephone:
Email:

All signatories accept that the organisers will not be liable for any injury, loss, damage action claim, cost
or other expenses which may arise in consequence of participation in this event and there will be no
refunds, unless the event is cancelled, as the entrance fee is considered a donation to the Guide Dogs.

I declare that I will not compete in this race unless I am in good health on the day of the race and in any
event I will only compete at my own risk.

Signed ………………………………………….. Date …………………….

To be signed by parent/guardian if participant is under 17 yrs
Office Use Only 20/9