ENTRY
    FORM

    Entry Form For

    Please fill out this form on screen and then print out this page. Please print one form for each entrant and send it / them by post to: Three Peaks Trial bookings, 122 Stow Hill, Newport, Gwent NP20 4GA.

    The closing date for pre-entries is 31st January 2018

    This information will be held on a computer system, but only for the purposes of Cardiff Outdoor Group Administration.

    Please use one entry form per entrant. Entry costs:

    Please note there is no 'on the day' entry.

    Please make cheques payable to Cardiff Outdoor Group.

    Name:

    		  Age:

    Address:

    		     
     

    		     
     

    		     
     

    		 

    Post code:

             

    Phone:

    		     

    Email address:

    		     

    How did you hear about the Three Peaks Trial?

      

    Please register me for the Three Peaks Trial

    I enclose a cheque payable to "Cardiff Outdoor Group" for :      

    £

    Are You Raising Sponsorship at the Event for a Charity?

    If "Yes" which charity?

      

    Please enclose a Stamped Self-Addressed Envelope.



    Copyright Cardiff Outdoor Group 2017