Gateshead Indoor Entry Form

Entry form for Gateshead Indoor Series Match 4 (8th/9th February 2023)

* Indicates required field

Email - essential, please check carefully *

Full Name *

First

Last

Date of Birth *

Gender *

Male Female

Club *

All entrants shall be deemed to have made him/herself familiar with, and agreed to be bound by the UKA Anti-Doping Rules and to submit to the authority of UK Anti-Doping in the application and enforcement of the Anti-Doping Rules.

The UKA Anti-Doping Rules apply to entrants participating in the sport of Athletics, for 12 months from the 11th January 2023, whether or not the entrant is a citizen of, or resident in, the UK.

I agree with the Anti-Doping Regulations as stated above *

Yes

NOTE - EVENT DAYS HAVE CHANGED:- FIELD EVENTS ARE ON WED 8TH FEB, TRACK EVENTS ARE ON THURS 9TH FEB
LONG JUMP HAS BEEN REPLACED BY TRIPLE JUMP THIS MONTH.

Event(s) to enter (£5 per event) *

Pole vault - Wed 8th Feb Shot Putt - Wed 8th Feb Triple jump - Wed 8th Feb 60m - Thurs 9th Feb (give estimated time in box below) 60m hurdles - Thurs 9th Feb

Estimated time for 60m (if entered) *

Once this form has been submitted, you will receive an easy to pay invoice by email within 48 hours. If it hasn't arrived by then, please check your spam folder in the first instance. If it isn't there, email me at [email protected] as soon as possible please.

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