ࡱ> GIF#` Tbjbj5G5G 0:W-W-T .......BBS>v$h... j....j ܷj>#0SV.<^nLSBBB BBB BBB...... Rowbotham's Round Rotherham Individual Entry This form is for pre-entries (or print the postal entry  HYPERLINK "Rrrr.pdf" Adobe Acrobat version) Post to RRR Entries, Field Cottage, Biscay Lane, Wath-on-Dearne, Rotherham. S63 6PT, with your fees Entry enquiries 01709 878959 Enclose SAEs (minimum A5 / 230160 mm - if larger use Large stamp). Unless indicated (top left corner of envelope), the first SAE will be used for confirmation and details, with the 2006 description of route and map for first-time entrants or if requested. If provided, second SAE will be used for results. If no SAE is supplied or after 25th Nov, it is assumed you will get any information you require from the website. Date: Second Saturday in December Start and Registration atthe DVC Sports, as for 2006. Manvers Park, Wath upon Dearne, Rotherham S63 7EW,Grid Ref SE 455003 The College is signed from the Manvers roundabout (SE 454008) on the A6023. Name (first name and surname)Club (for Team competition)1st claim athletics club (or TRA, FRA, RRC)Start time (please circle)Walkers 06:00 - Runners 07:00Have you done this event before?(Approx.) No. of finishes: If none, have you entered or started before?Male or FemaleAge on day (Absolute minimum 18 years) (please contact organiser if under 21)Date of BirthSleep at the Event Centre on the Friday night (7 Dec)? additional fee 4.00Shirt size S, M, L, XL for commemorative leisurewareFee (please circle) Cheques to RHACAttached to UK: Athletics 10.00 Sleeping:14Unattached/ LDWA 11.00 Sleeping:15Late entries, after 3 Dec 15.00 Sleeping:19I absolve the Organisers and Rotherham Harriers and Athletics Club from responsibility for my safety in the Round Rotherham event. I understand that TRA/UK:Athletics rules apply. I understand that entries and results will be processed by computer and that the data will only be used in connection with the Round Rotherham event. Retirement must be reported to an official at a checkpoint or the Event Centre. Entries can only be accepted subject to these conditions. Signed: _________________________________________ Date: ____ / ____ / 20___ Addresses (postal, with post code) e-mail (please write clearly): Vehicle Registration and TypeTravelling Companions Home Telephone: ( in case of emergency)Mobile Telephone (if carried): /0Mhi   ʵlb[TI>6hAJYmH sH h)VG5\mH sH hAJY5\mH sH  hAJY5\ h)VG5\h)VGh)VG5\&h{h{5>*B*\mH phsH )jhx.ehx.e5U\mH sH #jh{h{5U\mH sH h{h{5\mH sH (h{h{56CJ\]aJmH sH h{h{mH sH (h{h{56CJ$\]aJ$mH sH *h{h{5CJ$OJQJ\aJ$mH sH 0 $Ifgd{$a$gd{$dd[$\$a$gdAJY$dd[$\$a$gd{T   i '5VdSTοΫΣΛΛΣΈhOJQJh{hAJYmH sH hAJYmH sH h{mH sH hO mH sH h{CJaJmH sH h{h{CJaJmH sH h{h{mH sH "h{h{5CJ\aJmH sH hAJYhAJY5\mH sH  hAJY5\ e\\ $Ifgd{kd$$IfT-0!" 0"634-abpyt{T   e\\ $Ifgd{kd$$IfT-0!" 0"634-abpyt{T  7 V e\\ $Ifgd{kdo$$IfT-0!" 0"634-abpyt{TV W x e\\ $Ifgd{kdZ$$IfT-0!" 0"634-abpyt{T e\\ $Ifgd{kdE$$IfT-0!" 0"634-abpyt{T ! e\\ $Ifgd{kd0$$IfT-0!" 0"634-abpyt{T! " 0 2 e\\ $Ifgd{kd$$IfT-0!" 0"634-abpyt{T2 3 e\\ $Ifgd{kd$$IfT-0!" 0"634-abpyt{T e\\ $Ifgd{kd$$IfT-0!" 0"634-abpyt{T )6Xee\\\\\\\ $Ifgd{kd$$IfT-0!" 0"634-abpyt{Tef9% dd[$\$gd{kd $$IfT-\{!"SDQ Q  (0"634-abp(yt{T9 $$Ifa$gd{$dd$If[$\$a$gd{ dd[$\$gd{gTTH $$Ifa$gd{$dd$If[$\$a$gd{kd $$IfT    0 "        08"634abpyt{T01gTK $Ifgd{$dd$If[$\$a$gd{kd $$IfT    0 "        08"634abpyt{T12QRgTK $Ifgd{$dd$If[$\$a$gd{kd $$IfT    0 "        08"634abpyt{TRSTgekd $$IfT    0 "        08"634abpyt{T.:p{. A!"#i$i% DyK yK (rhac/trail/Rrrr.pdf$$If!vh5]5#v]#v:V - 0"655/ 34-pyt{T$$If!vh5]5#v]#v:V - 0"655/ 34-pyt{T$$If!vh5]5#v]#v:V - 0"655/ 34-pyt{T$$If!vh5]5#v]#v:V - 0"655/ 34-pyt{T$$If!vh5]5#v]#v:V - 0"655/ 34-pyt{T$$If!vh5]5#v]#v:V - 0"655/ 34-pyt{T$$If!vh5]5#v]#v:V - 0"655/ 34-pyt{T$$If!vh5]5#v]#v:V - 0"655/ 34-pyt{T$$If!vh5]5#v]#v:V - 0"655/ 34-pyt{T$$If!vh5]5#v]#v:V - 0"655/ 34-pyt{T3$$If!vh555 5 #v#v#v :V - (0"65S5D5Q / 34-p(yt{T$$If!vh55 #v#v :V 08"6,55/ 34 pyt{T$$If!vh55 #v#v :V 08"6,55/ 34 pyt{T$$If!vh55 #v#v :V 08"6,55/ 34 pyt{T$$If!vh55 #v#v :V 08"6,55/ 34 pyt{T<@< Normal_HmH nHsH tHDA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k@(No List R^@R { Normal (Web)dd[$\$CJaJmH sH 4U@4 { Hyperlink >*phT :07VWx !"023)6Xef9    0 1 2 Q R S V 00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 00 00 0 000000 0 0 00 0 0 0 0 0 0 0 0 007VWx !"0236ef9    0 1 2 Q R S V 00j00j00j00j00jC3 00j00j^G]700j00j@0000j00j@0000j00j000 0j0 0j@000 0j0 0j@0000j00j@0 D00j00j0000j00j0000j00j00j00jj000j00j00j00j00jD0 000j00j00jD0 000j00j@0j00j00j4 0 00! T   V ! 2 e91RT T hT X T܆\A.CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q