Croxby 1 Lap Time Trial 6th August 2025

Payment Options

Entry Options - Please choose an option below

£5.00 - Croxby 1 Lap Time Trial

Personal Information

* Title

* First Name

* Last Name

* House Number/Name

* Street Name

Address 1

* City

* Area

* Post Code

* Country

* Gender

* Date of Birth

* Your Age (Age on the day of the event. (6th August 2025 ) Please note that the minimum age permitted for this event is 15)

* Telephone Number

* Email

* Confirm Email

* Club (Please enter N/A if you are not a member of a club)

Parental/Guardian Consent

It appears that the age submitted has shown that you are under 18 years of age.

This form must be completed by a parent/guardian of the athlete taking part. Please state the name of the person filling in this form and your relationship to the named athlete.

*Please Enter Parent/Guardian Name

*What Is Your Relationship To The Athlete?

I am giving permission for the athlete entered on this form to participate in this event.

Questions

* Emergency Contact Name

* Emergency Contact Number

* Do you have any medical conditions we should be aware of, if so please provide details or answer none

Terms and Conditions

I agree with the terms and conditions .

Refund Policy

I agree with the refund policy .

Important Entry Information

To manage this Entry effectively we will need to send you important information by email. We will be providing information that we really need you to see. We will only send you information regarding the Entry itself and will not use your email address for any other purpose.