Cycling Events Entry Form

CYCLING ENTRY FORM

Events start at 1pm

Cash Prizes (to the value of)

Seniors – 1^st £30, 2^nd £25, 3^rd £20

Juniors – 1^st £25, 2^nd £20, 3^rd £18

Entry Fee: £1.50 per event

Event	Event Name
43	800m Cycle Scottish Grass Championship
44	1500m Cycle Handicap
45	6000m Cycle N.S.C.U.Championship
46	1000m Cycle Handicap
47	Cycle De’il Tak the Hindmost
48	800m Junior Handicap

Please complete Entry form below:

Please select all events you wish to enter

800m Cycle Scottish Grass Championship *

1500m Cycle Handicap *

6000m Cycle N.S.C.U.Championship *

1000m Cycle Handicap *

Cycle De’il Tak the Hindmost *

800m Junior Handicap *

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone *

Email *

Club

Hon. Secretary Mike Scott

Tel: 01309 673289

Trade Stand Co-ordinator Kev Skivington