The Gillingham Trotters invite you to the Eighth Sunday 1st May 20 16 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: Applied For Accurately measured. Certificate Number: North Do rset Village Marathon and Relay North Dorset Village Marathon – Entry Form 201 6 Sunday 1st May 2016, 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, Marnhull, Stalbridge, Togber, Stour Row, Margaret Marsh, West Orchard, Farrington and Child Okeford. Club: Start : Sturminster Newton High School, Bath Road, Sturminster Newton, EA Affiliation Number: Dorset, DT10 1DT. County Championship : Race Numbers : Will NOT be posted, you will need to register at the start Yes / No (see left *) from 7AM on race day. rd Postal Closing Date : 23 April 2016 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: Technical T-shirt 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 Telephone: aggregate 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 Email: category first. Hog Roast: Hog Roast or vegetarian equivalent to all Finishers. Medical Condition : Payment: Cheques should be made payable to ‘Gillingham Trotters’. T-shirt Size: Small / Medium / Large / XLarge Race Secretary : Please send your entry to ‘Inès Braun, 12 Fairmont Terrace, Sherborne, Dorset, DT9 3JS’ with a SAE or email for confirmation of entry. Food Option: Hog Roast / Vegetarian Further Information : www.ndvm.co.uk Fee: £ 28 (Affiliated) / £ 30 (Unaffiliated) * County Championship eligibility: • Born in Dorset I accept the UK Athletics rules and declare that I will compete on foot and at my own risk and • Nine months continuous residence in Dorset immediately prior to the date of the race. in no way hold the organisers responsible for any injury, illness or accident (including death) to • Nine months service in HM Forces stationed in Dorset immediately prior to the date of the race. my person and property. • No athlete is allowed to compete in the Championships of more than one County in any one nine month period. Signed: We are unable to accept entries from anyone who does not want their name and race number Note this entry form is only valid for the marathon entered on a computer. .