Notes on entries ENTRY 1 All competitors must have Hampshire qualification: a. birth or b. nine months continuous residence or service in H.M. Forces prior to the date of the FORM Championships, in Hampshire, the Isle of Wight or Channel Islands, and MUST NOT have competed for another county or in another county's championships Please write your name, address, etc, in Part 1 during the current Competition Year. THEN: For a single entry, complete Part 2, 2 This is a Hampshire Club competition, and so OR: For multiple entries on this form complete unaffiliated runners will not be accepted. All athletes Part 3 overleaf. You can enter all age groups on he must be registered with England Athletics. same form provided that the event entered by each 3 Age Qualification: competitor is clearly shown. Qualification Date for Under 11, Under 13, Under 15 and Under 17 age groups is 31st August 2017. Timetable (times and distances approximate, Qualification Date for Under 20 age group is 31st refer to website later when courses are confirmed) December 2018* (*This date is the same as for the 10:15 Under 11 Boys (Teams: 4 to score) 2150m UK Inter-Counties Championships and ensures that 10:30 Under 11 Girls (Teams: 4 to score) 2150m all athletes taking part in the Under 20 races are 10:45 Under 13 Boys (Teams: 4 to score) 3400m eligible for Hampshire team selection.) 11:00 Under 13 Girls (Teams: 4 to score) 3400m Male FemaleMust be born between 11:15 Under 15 Boys (Teams: 4 to score) 3950m U11B U11G 1 September 2006 - 6 January 2009† 11:35 Under 15 Girls (Teams: 4 to score) 3950m U13B U13G 1 September 2004 - 31 August 2006 11:55 Under 17 Women (Teams: 3 to score) 5000m U15B U15G 1 September 2002 - 31 August 2004 11:55 Under 20 Women (Teams: 3 to score) 6200m U17M U17W 1 September 2000 - 31 August 2002 12:30 Under 17 Men (Teams: 3 to score) 6300m U20M U20W 1 January 1999 - 31 August 2000 12:30 Under 20 Men (Teams: 3 to score) 8700m SM SW on or before 31 December 1998 13:05 Senior Women (Teams: 4 to score) 7950m VM VW on or before 6 Jan 1978(M)/1983(W) 13:05 Veteran Women (Teams: 4 to score) 7950m †All Under 11 competitors must be 9 years or over on 13:55 Senior Men (Teams: 6 to score) 11750m the day of competition. 13:55 Veteran Men (Teams: 4 to score) 11750m Note: Athletes wishing to compete in an older age Presentation of trophies and medals will be made as group, e.g. U17 athletes in the U20 event, must soon as possible after each race. specify clearly which age group is being entered. 4 Veteran competitors pay one entry fee and score in Please note both Senior and Veteran age groups and teams. No animals or pets of any kind, except guide and hearing dogs, are allowed anywhere in the Race number collection grounds. Race numbers will be available for collection from Smoking: YMCA Fairthorne Manor and grounds are a the main admin marquee from 09:00. smoke free environment. Parking: Parking for as many cars as possible will be Enquiries provided in the grounds. We plan to arrange alternative email: [email protected] parking within 15 minutes' walk of the course - please refer to website later for details. www.hampshireathletics.org.uk Race day notes Online entry at Parents and spectators: please bring suitable footwear! Changing: some changing and showering facilities will be www.hampshireathletics.org.uk/enter M available. Refreshments will be on sale, provided by R O F YMCA Fairthorne Manor. First aid cover will be provided. H C A T E D Part 1 Name and address for correspondence

Postcode

Phone No. email

Part 2 Individual entry (club entries overleaf) BLOCK CAPITALS PLEASE Surname

Forename M/F Date of Birth / / Age Group England Athletics Registration Number

Club

Entry fee: £8.00 per individual. Make cheques payable to: Hampshire Athletics Total entry fee enclosed £...... Signature...... Closing date: Friday 22nd December 2017 No entries are guaranteed after this date. Please send entries to: Pam Rogers (Championship Secretary) 99 Stride Avenue Copnor PORTSMOUTH, PO3 6HW Part 3 Club entries BLOCK CAPITALS PLEASE CLUB

DATE OF AGE ENGLAND SURNAME FORENAME M/F BIRTH GROUP ATHLETICS ENTERED REGISTRATION see note 3 NUMBER D M Y overleaf

Please read notes overleaf before completing entry form. Continue on further pages if necessary.