9.30am Sunday 4th September Take this opportunity to run the first ever Maidenhead Half Marathon on a flat, traffic free course. The route will start and finish in Maidenhead town centre and take in Bray, Cookham, and a stretch alongside the River Thames. As it is the first year of the race your race number will be yours for the future of the race, i.e. only you will ever run under that number. Once you have run the race five times your number will change colour to indicate to everyone else your achievement. Sponsored by Raising money for pharmalink maidenhead Half marathon 4th September 2011 Entry Form One form per entrant (photocopies accepted). Please return your entry form and fees by 21st August 2011. * We reserve the right to close entries before this date if our limit is reached. Title First name Surname Address Postcode Age on race day Date of birth Male Female Expected finishing time Affiliated club name Team name Contact telephone number Email address If you do not wish to be contacted by the Link Foundation about fundraising please tick here entry Fee affiliated Unaffiliated UKA race permit applied for. The race will be run according to UKA rules and regulations. In ADVANCe £18 £20 enter online at ENTRIeS On tHe DAY £22 £24 www.purplepatchrunning.com Please make cheques payable to Purple Patch Running Ltd and send to: purple patch running Ltd, 23 York Road, Marlow, Bucks, SL7 2QB. For further information email [email protected] or call 01628 474953. terms and Conditions of entry • All participants must be 17 years of age or older, fit to take part, and, if necessary, should seek advice from their GP • Entrants must take care when crossing roads, although marshalling assistance may be given • Whilst every reasonable care is taken, entrants cannot hold the organisers, sponsors or landowners responsible for their safety • All entrants must show consideration for other users of public footpaths and rights of way • Entry fees are non-refundable, including the cancellation of the event due to circumstances outside the organisers control • The organisers reserve the right to withdraw entrants from the event and anyone that opts to continue does so entirely at their own risk I understand and agree to abide by the terms and Conditions of entry Signed Date Your details will be held by Purple Patch Running Ltd and not made available to third parties. If you would prefer us not to mail you with details of future events, please tick this box o Purple Patch Running in association with.