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The Doddlers invite you to the Eleventh

Sunday 5th May 20 19 at 8:30AM From Sturmin ster Newton High School

We would like to thank our generous sponsors. Limited to 400 competitors.

A Road Race organised in accordance with UKA rules Permit Number: 2019-35687

Accurately measured. Certificate Number: 14/093

Nort h Dorset Village Marathon and Relay Village Marathon – Entry Form 201 9 Sunday 5th May 2019, 8:30 AM Dorset County Championship & Dorset Road Race League Surname:

A picturesque race along country lanes through the villages of Hinton St Forename: Mary, , , Togber, , , , Farrington and . Club:

Start : High School, Bath Road, Sturminster Newton, EA Affiliation Number: Dorset, DT10 1DT. County Champions hip : Race Numbers : Will NOT be posted, you will need to register at the start Yes / No (see left *) from 7AM on race day. th Postal Closing Date : 27 April 2019 or when the limit of 400 is reached. No Gender: M / F DoB: Age(Race day): entries on the day. Race Entry Requirements : Entrants to the marathon must be 18 years of Address: age or over on the day of the event. Dogs, wheelchairs, personal music players and baby buggies are not allowed. Infringement will lead to disqualification. Awards: Memento and medal to all finishers, prizes to 1st , 2 nd , 3 rd Open Male and Female, 1st Male and 1st Female in the following age categories: 18-20+, 30+, 40+, 50+, 60+, 70+, 1st Male and 1st Female teams (based on aggregate Telephone: time of the first 3 members of a qualifying club). Competitors can win only one prize (except team prize) and will be considered in the Open category first. Email: Hog Roast: Hog Roast, vegetarian, vegan or gluten free to all entrants. Medica l Condition : Payment: Cheques should be made payable to ‘Dorset Doddlers’. Race Secretary : Please send your entry to ‘Inès Braun, 12 Fairmont Terrace, Food Option: Hog Roast / Vegetarian / Vegan / Gluten Free Sherborne, Dorset, DT9 3JS’ with a SAE or email for confirmation of entry. Further Information : www.ndvm.co.uk Fee: £ 34 (Affiliated) / £ 36 (Unaffiliated)

* County Championship eligibility: I accept the UK Athletics rules and declare that I will compete on foot and at my own risk and • Born in Dorset in no way hold the organisers responsible for any injury, illness or accident (including death) to • Nine months continuous residence in Dorset immediately prior to the date of the race. my person and property. • Nine months service in HM Forces stationed in Dorset immediately prior to the date of the race. I agree that you may publish my Personal Information as part of the results of the Event and • No athlete is allowed to compete in the Championships of more than one County in any one nine month period. may pass such information to the governing body or any affiliated organisation for the purpose of insurance, licences or for publishing results either for the event alone or combined with or compared to other events. Results may include (but not be limited to) name, any club affiliation, We are unable to accept entries from anyone who does not want their name and race number race times and age category. entered on a computer. Signed: Note this entry form is only valid for the marathon