Burton Ac club 140th Anniversary Games entry form 13/09/2023

Burton Ac club 140th Anniversary Games entry form 13/09/2023

Shobnall Leisure Centre, Shobnall Road , Burton On Trent, DE14 2BB (under UKA Rules)
As one of the oldest athletic clubs in the uk Burton Ac (Burton Harriers back in 1883) will be hosting our 140th Anniversary games.

we are proud to reach such a milestone and we will be adding a '1 mile' race with the added incentive of racing the 'Penny farthing'. The penny farthing which was made in the same year the club was founded.

Instead of relays we will be holding a 'Tug of War' event also.

Under11: school year 4&5 - 100m, 600m, High Jump, Long Jump

Under13: school year 6&7 -100m, 600m, 1 mile, High Jump, Shot, Long Jump,Javelin

Under15: school year 8&9 - 100m, 300m,800m, 1 mile , HighJump, Discus, Hammer, Shot, Long Jump , Javelin

Under17: school year 10&11 - 100m, 300m ,800m ,1 Mile, High Jump, Long Jump, Discus, Hammer , Shot, Javelin

Under20: school year 12&13 - 100m, 400m, 600,800,1 mile High Jump, Shot, Discus, Hammer, Long Jump, Javelin

Senior and Vets: 100m,400m, 800m, 1 mile, HighJump, Discus, Hammer, Shot, Long Jump, Javelin

Tug of War mixed teams- From u15's upwards
Athlete Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Date of Birth

MonthDayYear
Date
Age on day of competition*
Club /URN Number*
Age Group*
Event

100m300m400m600m800m1 MileLong JumpHigh jumpShotDiscusHammerJavelinTug of War
Next of Kin /Parent/Guardian - Name and Contact number*
We reserve the right to cancel any event with less than two entries.

Entry Fee Payment*

GBPEntry Fee £5 for each day

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

All athletes must report to the sign in desk and collect their numbers on the night. All track athletes must report to their event at least 10 minutes for the race and field athletes at least 15 minutes before the competition starts.

3 field trials for u13/u15/Vets athletes and 6 trials for u17/u20, senior athletes.

A full timetable will be made available on 8th September 2023.

It is £5 per athlete per day , all proceeds will go to the michael kelsall fund

Only enter 2 field events for u13/u15/Vets

EDM for Discus, Hammer ,Javelin

If entering tug of war please can you advise us names of the team , we would like mixed teams for this

Further information can be found on our social media channels (Facebook/Instagram) and our website www.burtonac.co.uk
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