Registration: RG Falla (Small Works) Series
Please register your details below to enter the 2019 RG Falla (Small Works) Series. This consists of the following races:

Tuesday 4 June @ 7.00pm - West Coast 5k Road Race (L'Eree to Vazon)
Sunday 14 July @ 10.00am - West Coast 10k Road Race (Imperial to Grandes Rocques)

The cost per race is £5 for GAC members and £7 for non-members, the proceeds of which will go towards the redevelopment of the Footes Lane Athletics Track.

Please note that any misplaced race numbers will incur an additional charge of £5.

NOTE: Pre-registration for the series will close at 6.00pm on Sunday 2 June. Payments will be taken in cash at number collection.

Fields marked with an asterisk are mandatory. Thank you.
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YOUR CONTACT DETAILS
Please enter your contact details below.
Name (First and Last Name) *
Gender *
Age on 04/06/19 *
Membership *
Other Club Name:
Email Address *
Mobile Telephone Number *
Team Entry
We will be awarding prizes for teams of three people. If you wish to enter, then please let us know the name of your team below. Awards will be provided based on results over both races in the series.

There will also be a separate award for the fastest overall team from the construction industry. If you are entering as a construction team then please enter the business name in the field below e.g. RG Falla.
Team Name / Construction Business
EMERGENCY CONTACT DETAILS
Please let us know who to contact in the unlikely event of an emergency.
Name (First and Last Name) *
Mobile Telephone Number *
MEDICAL CONDITIONS
Do you have any medical conditions that we should know about? If so, please list them below. *
Important Information
Awards will be presented as follows:

Teams of 3, lowest cumulative score wins. Prizes for male, female and mixed.
**Teams must be named and declared at registration for the first race, retrospective entries will not be taken.

In addition the RG Falla Cup will be awarded to the leading team overall from the construction industries.
**All members of the team must be bona fide employees of the firm they represent.

Guernsey Athletics Club operates a no refund policy.

Facilities: Public toilets and parking will be available at all venues.

Accessibility: Every effort will be made to accommodate athletes and spectators. However, we would politely request that any specific requirements are made known to us in advance via the 'Medical Conditions' section of this form.

UKA rules for competition will apply:

http://www.uka.org.uk/competitions/rules/
http://www.paralympic.org/athletics/rules-and-regulations/rules

Headphones for personal music players must not be worn. Runners that do not abide by this rule are at risk of disqualification and exclusion from the results.
Consent & Data Protection *
By ticking the box below you are declaring that you are well enough to take part in the event(s) and that you will not hold the GAC or any of its officers responsible for any accident, loss or injury incurred whilst participating. You are allowing your name, age category and club to be used in results which will be passed up to relevant UK Athletics results databases. You are accepting that any published race images may include you.
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