ALWAYS FOLLOW THE COUNTRY CODE.

Cheviots Challenge Entry Form.

Web Site Entry Form Official Use Only.
Entry Number.
Please read our entry details before completion.
CHEVIOTS CHALLENGE 2010.
Saturday 28thAugust 2010. CLOSING DATE 14th AUGUST 2010
All entries must be accompanied by an ENTRY FEE of £14.00, received and must include a stamped addressed envelope for receipt, number and kit list. Please complete, download and send to the address below. Photo copies are acceptable. By return, you will receive your entry number and a kit list.

 Full Name

Age (if under 18 years)

Emergency Address if different
Address Line 1 Address Line 1
Address Line 2 Address Line 2
Address Line 3 Address Line 3
Post Code Post Code
Tel. Nos. (inc STD Code) Emergency Tel. Nos. (inc STD Code) if different
Mobile Emergency Mobile
Registration of car in which you are travelling:
Do you have any medical conditions that we should know about?   Continue on back if necessary.
Please indicate your route choice by placing a tick in the appropriate box.

The Terry Lynn Long Route: will include: Clennell Street, Fairhaugh, Windy Gyle, Nettlehope Hill, Saughy Hill and Alwinton.

Eileen Lynn Short Route: will include: Clennell Street, Yarnspath Law, Saughy Hill Pass Peth and Alwinton.
These routes may change on advice from the Northumberland National Park Senior Ranger
I wish to enter the Cheviots Challenge. I have read and agree to abide by the rules, contained in the entry details.. I understand that the organisers accept no responsibility in the case of injury or accident. I enclose a SAE and cheque/postal order payable to:-"Cheviots Challenge " for £14.00 . Extra payment required for a T-shirt(s). Click here to order a T-Shirt. Download a sponsorship form
Signed
  Dated

Please send entry and SAE to: Cheviots Challenge, 25 Hauxley Drive, Northburn Dale,Cramlington, Northumberland, NE23 3UZ. England.
Click print when completed. Alternatively, click Print This Form or Word Application Form to download a blank application form. Click here to download a free copy of Adobe Reader. Top of page