Durrell Dash 2012

Durrell Dash 2012 map Sunday 21st October 2012

Durrell Dash 2012 Sunday 21st October 2012

The 13k & 6k Dash in and around Durrell Wildlife Park Sponsored by

This year’s course will include a water station and will be in a clockwise direction.

Exact course details will be sent with your race number or found at durrell.org/dash closer to the date.

Official Use: No

1

2

3

By participating in this event you irrevocably declare that you accept the above terms and absolve absolutely Durrell Wildlife Conservation Trust, its employees, officers and representatives from, and indemnify them for, any fault whatsoever from any injury, accident, loss, damage and/or theft which may occur of and incidental to your participation.

5

Durrell Wildlife Conservation Trust is a member of the Association of Jersey Charities, membership number 69. Patron: HRH The Princess Royal. Founder: Gerald Durrell, OBE, LHD. Honorary Director: Lee Durrell, MBE, BA. PhD. Chief Executive Officer: Paul Masterton.

4

All persons participate at their own risk. Durrell Wildlife Conservation Trust, its employees, officers and representatives, shall not be liable for any injury or accident whatsoever and howsoever occurring to participants or their guests nor for any loss or damage to, or theft of, their property at the event.

Date:

Durrell Dash sponsorship form

Durrell Dash

Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Race Number . . . . . . . . . . . . . . .

Registration/Late entry:

Sunday 21st October 2012

Name

Address

Post Code

Amount Pledged

Sponsored by

Sunday 21st October 2012

Date Collected

7.15 am

Pre race ‘lemur’ warm up:

8.15 am (13k Dash) 8:45am (6k Dash)

Start times:

Durrell 13k Dash – 8:30am Durrell 6k Dash – 9:00am

Awards:

Top 3 in each Dash Women & men’s open / Masters (W+35, M+40) All entrants will receive a ‘goody bag’ and tee shirt

Entry fee:

Adults £15.00 closing date 15th October 2012 Entry on the day £20.00 Juniors (under 18) £10.00 in advance or £15 on day

Food and drink:

Water station available on route. Spectators can enjoy a well deserved coffee or breakfast at the victory vantage point of Cafe Firefly!

Enquiries:

(01534) 860035, events@durrell.org

✁ Enter online at durrell.org/dash or use the form below...

Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postcode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Email . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Durrell member

Yes

No

Phone number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Date of birth . . . . . . . . . . . . . . . . . . . . . . . . . . . . Age . . . . . . . . . . . . . . . . Sex . . . . . . . . . . . . . . . . . . . .

Signed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . . . . . . . . .

T-shirt size

The named person is participating in the above event and seeks your sponsorship. Funds raised will be used on our projects both overseas and at our headquarters in Jersey. Every little helps for wildlife conservation and we are most grateful for any donation. For more information please contact the Fundraising Department on 01534 860013.

In order for Durrell Wildlife Conservation Trust to collate Gift Aid donations, please return this completed sponsorship form with all donations made.

The government’s Gift Aid scheme allows UK registered charities, such as ourselves, to raise vital extra funds by reclaiming the tax paid on donations by UK taxpayers. This means that every £1 you donate will be worth an additional 28p to us. Please note that tax can only be reclaimed on donations made by individuals who pay UK income or capital gains tax and are at least equal to the amount reclaimed on the donations in the current tax year.

S

M

L

XL

Please send completed forms to:

Payment:

Andrew Scott-Miller Durrell Wildlife Conservation Trust Les Augrès Manor, La Profonde Rue Trinity, Jersey JE3 5BP Channel Islands

The entry fee for each event is Adults £15.00 juniors £10 (under 18) Charity donation

£

Please make cheques payable to ‘Durrell Wildlife Conservation Trust’

6k or

13k

6k or

13k