WMAA Indoor Championship Entry Form

November 8, 2017

WELSH  INDOOR  MASTERS  CHAMPIONSHIPS/OPEN 2018

 

                    Held within the Cardiff Metropolitan University Grand Prix Series

                                           (Under UKA Rules)

 

DATE                             Sunday 14th January 2018 (Part 1)    &   Sunday 4th February 2018 (Part 2)

 

STADIUM                      NIAC Cardiff

 

AGE GROUP                  W35+/M35+  As of  the 14th January 2018   &  4th February 2018

 

ENTRY FEE                    £8.50 for 1 event.  £16.00 for 2 events.  £22.00 for 3 events.

                                            For more than 3 events please add £6.00 per event…

 

CLOSING DATE                28th December 2017  for the 14th January 2018 meeting

                                      18th January 2018  for the 4th February 2018 meeting

 

                          LATE ENTRIES WILL NOT BE TAKEN & NO ENTRIES INTO THE MASTERS COMPETITIONS ON THE DAY

 

RETURN ENTRY TO             Mrs Sue Hooper

                                            28 Mill Common, Undy, Monmouthshire NP26 3JH                                                                                          01633 881608  (no calls after 9pm)

                                                      hooper_pencoed@btinternet.com

 

Paper entry only…If you enter online you have not entered the Masters events, you have entered the Grand Prix events..If  unsure ring before you enter….

 

 (Entries and final timetable will be published on the website)

 

It is the responsibility of the competitors to check the website to confirm their entry prior to the closing date… No entries will be accepted on the day.

------------------------------------------------------------------------------------------------------------------------------

 

ENTRY FORM   (Please fill in all sections)

 

Surname_______________________________Forename(s)_______________________________

 

Address________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

 

Tel Number(s) ______________________________________________________

 

E-mail_____________________________________________________________

 

CLUB______________________________________________________________

 

Masters Age Group____________________________________________________
 

Welsh Masters Membership No___________________________________________

 

Welsh Athletics/UKA Regristration No_______________________________________

 

OPEN COMPETETORS ONLY______________________________________________

(Other Master/Veteran Association or Number…Leave blank if not a member of any Association)

 

Please circle events:

 

Events:  January 14th 2018     60mH      200m       800m     Triple Jump     Long Jump      Pole Vault

 

Events:  February 4th 2018      60m         400m       1500m     High Jump    Shot

 

 

Take off board for Triple Jump:           3m           5m           7m           9m           11m         please circle

 

Time table will be set by Cardiff Met GP organisers.  The WMAA have no control over this.

 

DECLARATION I declare that I am an amateur.  I am qualified to enter the Welsh Masters Athletic Association Championships and do so at my own risk.  I understand that drug testing may take place and that I may be required to submit to a test.

 

I enclose payment for £____________ cheques made payable to

                         WELSH MASTERS ATHLETICS ASSOCIATION  (WMAA)

 

 

Signed_________________________________________

 

 

Medals will be presented to the first 3 WMAA members in each age group event & an additional Gold will be presented to an Open competitor if they win the age group event.

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