Race Calendar

Bradford Keighley & Skipton Disability Athletics

About You

First Name:

Last Name:

Date Of Birth:

Gender:

Is Wheelchair Entry:

Contact Details

Contact Telephone:

Email:

Address:

Address Line 1:

Address Line 2:

City:

Postcode:

Entry Details

Entry Type:

Team Name:

For track events, please state the distance (e.g. 100m, 200m, 300m, 400m, 800m, 1500m) or N/A:

For field events, please state which event (e.g. long jump, standing long jump, soft ball, shot putt, discus, club throw) or N/A:

For throws, please state whether seated or ambulant:

Please provide an estimate of your time or distance for your chosen event:

Contact in Case of Emergency:

Phone in Case of Emergency:

Additional Information:

Team Member

First Name:

Last Name:

Date Of Birth:

Gender:

Charitable Donations

Bradford Keighley and Skipton Disability Athletes is fundraising for Bradford Keighley and Skipton Disability Athletics. If you would like to make an additional donation to Bradford Keighley and Skipton Disability Athletics, please enter an amount next to the chosen charity.

Donation to Bradford Keighley and Skipton Disability Athletics:

Please treat my donation(s) as a Gift Aid donation.

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for the current tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities and Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for the current tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I have given.

About Entrant _1

First Name:

Last Name:

Date Of Birth:

Gender:

Is Wheelchair Entry:

Contact Details

Contact Telephone:

Email:

Address:

Address Line 1:

Address Line 2:

City:

Postcode:

Entry Details

Entry Type:

Team Name:

For track events, please state the distance (e.g. 100m, 200m, 300m, 400m, 800m, 1500m) or N/A:

For field events, please state which event (e.g. long jump, standing long jump, soft ball, shot putt, discus, club throw) or N/A:

For throws, please state whether seated or ambulant:

Please provide an estimate of your time or distance for your chosen event:

Contact in Case of Emergency:

Phone in Case of Emergency:

Additional Information:

Team Member

First Name:

Last Name:

Date Of Birth:

Gender: