HERTFORDSHIRE MIDDLESEX INDOOR CHAMPIONSHIPS

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					                                                                                                   UKA LONDON DISABILITY ATHLETICS CHALLENGE 2009
                                                                                                             MORNING ALL COMERS EVENT
                                                                                                        CRYSTAL PALACE - Sunday 26th July 2009

                                                                                                                       Please complete in Block Capitals
          UKA LONDON DISABILITY ATHLETICS CHALLENGE 2009                             Surname………………………………………………….First Name……………………………………….……..
                    MORNING ALL COMERS EVENT
                                                                                     Address………………………………………………………………………………………………………………………
               CRYSTAL PALACE - Sunday 26th July 2009
                                                                                     ……………………………………………………………… Post Code………………………………………..………
Age Groups:     Open to all age groups                                               Tel. No………………………………Email………………………………………………………………………………
                                                                                     Date of Birth…………………….Place of Birth**………………………………………..……………………
Events:         Ambulant Track – 100m, 200m, 400m, 800m, 1500m
                Wheelchair Racing – 100m, 400m, 800m                                 Classification………………Male/Female…………Club…………………………………………….….
                Ambulant Shot / Discus / Javelin                                     Do you need to be classified………………………………
                Seated Shot / Discus / Javelin / Club                                Proposed Events:
                Long Jump / High Jump
                                                                                     EVENT                       Tick event                 Classification   PB/Season’s Best
Classification: Athletes with a physical impairment must have an IPC                 Ambulant 100m
                Classification (please inform UKA using the entry form if you need   Ambulant 200m
                a classification)
                                                                                     Ambulant 400m
                Athletes with a Visual Impairment must bring their completed
                sight form (B1-B3)                                                   Ambulant 800m
                                                                                     Ambulant 1500m
Notes:          Entry Fee: £15 (Cheques made payable to UK Athletics Ltd)            100m Wheelchair
                The event will be run on time trials by entry time                   400m Wheelchair
                For more information about eligibility for each event please refer   800m Wheelchair
                to the UKA website
                                                                                     Ambulant Shot
                Classification will take place on Fri 24th / Sat 25th July
                At the discretion of the WCPP Head Coach, athletes may be            Ambulant Discus
                selected to compete in the International Standard Event in the       Ambulant Javelin
                afternoon.                                                           Seated Shot
                                                                                     Seated Discus
Entries:
                                                                                     Seated Javelin
    • Use the right hand half of this information sheet (retain this side)
    • Send entry form to: UKA Disability Athletics Challenge, UKA, Athletics         Seated Club
        House, Central Boulevard, Blythe Valley Park, Solihull, B90 8AJ              High Jump
    • Enquiries:       Marie Yates – myates@uka.org.uk                               Long Jump
                       0121 713 8462
                                                                                     This competition will be held under IPC Rules
    • Closing date for receipt of entries: Friday 3rd July 2009
                                                                                     Signed……………………………………………………                                Date………………………
               This entry form can also be accessed
               from www.uka.org.uk/grassroots/parallel-success                       Signed……………………………………………………                                Date………………………
                                                                                     Parent / Guardian if under 16
LATE ENTRIES WILL NOT BE ACCEPTED

				
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posted:10/20/2011
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