Goring 10K Online Entry Form

UKA Licence 2012-103078
Entry Fee: £15.00 (affiliated club members £13.00)

Date:

04 March 2012 Time: 11:00

First Name:

Last Name:

Address:

Town / City:

County:

Postcode:

Email:

Evening phone:

Sex:

FemaleMale

Date of Birth:

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Race Category:

Affiliated Club:

Yes

Fee:

The Goring 10K is a fund raising event for Goring Primary School. This year the school’s much beloved teaching pool needs essential maintenance… Without this the pool will not be able to open next summer. Please help us reach this very challenging fundraising target by making a donation. (Goring Primary School PTA Registered Charity number 279516)

Donation:

Using Gift Aid means that for every pound you give, we can reclaim an extra 28 pence from the Inland Revenue, helping your donation go further.
If you are a UK taxpayer and want to take advantage of Gift Aid, please confirm the statement below by ticking the check box provided.

I want this donation to be treated as a Gift Aid Donation .

You must pay an amount of Income Tax and / or Capital Gains Tax for the tax year (6 April 2011 to 5 April 2012) that is at least equal to the amount of tax that the charity will reclaim on your donation for the tax year.

Please notify the charity if you:

1. Want to cancel this declaration.
2. Change your name or home address.
3. No longer pay sufficient tax on your income and / or capital gains.

Tax claimed by the charity

The charity will reclaim 25p of tax on every £1 you give on or after 6 April 2008.
The Government will pay to the charity an additional 3p on every £1 you give between 6 April 2008 and 5 April 2011. This transitional relief for the charity does not affect your personal tax position.

If you pay income tax at the higher rate, you must include all your Gift Aid donations on your Self Assessment tax return if you want to receive the additional tax relief due to you.

Declaration

I am medically fit and understand that I enter the race at my own risk and that the organisers and associated organisations will in no way be held responsible for any injuries incurred to my person during or as a result of this event. I am an amateur as defined by U.K.A. rules and will be 15 years or over on 04 March 2012. I understand that the organisers reserve the right to delay or cancel the race in the event of adverse weather conditions, or other events outside the organisers’ control. The determination of what constitutes this is reserved solely to the Race Organisers. Entry fees are not refundable even in the case of event cancellation. Photographs and videos of the race will be taken for publicity purposes and I understand that my image may be used and give permission for it to be used.

I understand this statement and agree to be bound by its contents

To submit entry and pay please click Buy Now to pay using PayPal.

The Goring 10K committee would like to thank all our sponsors for their continuing support...