Leeds Country Way Online Entry Form


Team Category - Please indicate which team category this entry is for. To qualify as Veterans Ladies in the team must be over 35 and the Men over 40 (required)

Cost of entry is £132 per team. (£11 per runner) and each competitor will receive a commemorative piece of pottery.

Closing date for entries is Monday 14th August or until the race is full, whichever comes first.

Declaration

Please enter the above team for the Kippax Harriers Leeds Country Way Relay. I agree to abide by the rules made by the organisers and understand that no liability can be accepted by them for any injury sustained by me or any property lost by me during the period of this event.

By ticking this box, I confirm I have read and agree to the above declaration.

Payment Method

If you have any further questions, please telephone Helen Cowley - 07905 328 722 or email info@kippaxharriers.org.uk





Bank Transfer Details (Please make sure you add your name as a reference so we know who the payment is to be credited for). 

Electronic Payment Details

Account Name: Kippax Harriers

Sort Code: 40-39-21

Account No: 01101536