ENTRY FORM
MANCHESTER VELODROME
EASTER MONDAY TRACK MEETING
MONDAY 16th APRIL 2001
RACING 12.00 - 17.00
TRACK OPEN FROM 10.00
ENTRY FEES:
YOUTHS £2.50
JUNIORS £4.50
LADIES £6.50
VETERANS (3rd/4th Cat only) £6.50
SENIORS (3rd/4th Cat only) £6.50
Closing Date for entries 24th March 2001
Please enter me for the above track meeting:
I enclose entry fee of £.....
(Cheques made payable to ACT Track League)
BLOCK CAPITALS PLEASE
SURNAME Mr/Mrs/Miss/Ms
FORENAMES.....
DATE OF BIRTH.....
ADDRESS.....
POSTCODE......
TELEPHONE NO......
CLUB.....
SPONSOR.....
REGISTERED COLOURS.....
CATEGORY.....
LICENCE NO.....
I declare that I am eligible under the B.C.F. regulations to enter this race meeting and that the information on this form is complete and correct.
I understand and agree that I participate in this race meeting entirely at my own risk, that I must rely on my own ability in dealing with all hazards and that I must ride in a manner which is safe for myself and all others.
I agree that no liability whatsoever shall attach to the promoter, promoting club, race sponsor, members of the British Cycling Federation or members of the promoting club in respect of any injury, loss or damage suffered by me or by reason of the race, howsoever caused.
SIGNED......
DATE......
ENTRIES:
NEIL ORRELL, 44 OWLER LANE, CHADDERTON, OLDHAM, 0L9 9PA
(Tel: 0161 684 8854, Mobile 07970166439)
BICYCLE HIRE: available
£6
Youths / Concessions
Please complete this section if you require a hire bike.
Sizes l7in. to 23in. in increments of half inches.
Please reserve me a track cycle. Size......
I enclose hire fee of £....
Signed.......
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