Castle View School , Canvey Island , Essex , SS8 9RZ

Please feel free to enter via our secure online registration form

and pay by your account, or your Credit Card.

You can still download an entry form here and complete and post as normal.

Benfleet 15 Entry Form                        Benfleet 1.5 Junior Run Entry Form

After submitting your details you will be directed to secure link via to pay your entry fee.

Email confirmation will be sent to you after payment has been received.

Any problems please email me

 

* ALL FIELDS ARE REQUIRED TO BE COMPLETED

* SURNAME:

* ADDRESS:

* FIRST NAME:

* D.0.B:

  

* AGE on race day

* E-MAIL:

* GENDER:

MALE FEMALE

* POSTCODE:

* CLUB / TEAM (must be named for team prizes) 

* TELEPHONE:

* Which EVENT ?

* COMMENTS

* AAA NUMBER

* AFFILIATED ?

*  T-SHIRT SIZE ?

T-SHIRT for 15 miles. Medal for Jnr Run.

 

           Online Entry Fee £ 9 Affilated Runners         Entry Fee £ 11 Un-affilated runners

Junior Run 1.5 miles (Under 15 yrs old)  £ 4.50 all runners

 

I am now going to pay

This includes postage and envelopes.   Please ensure your address is correct.

Disclaimer  To Benfleet Running Club

"I am medically fit to compete and accept that the organising club and its members will not be held liable for any loss, accident or injury, before, during or resulting from the event. "

       *  Please tick box to confirm

The organisers reserve the right to cancel the event without notice if necessary.

 
  PRINT BEFORE SUBMIT