2010 ENTRY FORM
TO enter the omm SIMPLY REMOVE THe FORM opposite, complete your details and post it back to us at OMM. PLEASE REMEMBER TO INCLUDE YOUR TEAMs ENTRY FEE OF £98 ENTRIES SHOULD BE SENT To: OMM Ltd., 17 woodside haslingden, rossendale, lancs bb4 6qq CHEQUES SHOULD BE MADE PAYABLE TO OMM Ltd.
ENTRY DEADLINE: 28 JULY 2010 The start list will be published on our website www.theomm.com on the 2 august 2010
TEAM NO
OFFICIAL USE ONLY FIRST CHOICE CLASS
TEAM MEMBER 2
/ YEAR
LOG NO
TEAM MEMBER 1
TITLE
IF First Choice is full
TITLE
FIRST NAME
/ MONTH
SECOND CHOICE CLASS
FIRST NAME
DAY
SURNAME DATE OF BIRTH
GENDER / YEAR
SURNAME
/ MONTH
GENDER DAY
ADDRESS
DATE OF BIRTH ADDRESS
CITY
TELEPHONE
CITY
MOBILE
COUNTRY
TELEPHONE
POSTCODE
MOBILE
POSTCODE
IF YOU ARE A MILITARY TEAM, PLEASE cross
COUNTRY
IF WISH TO ENTER THE FAMILY CATEGORY PLEASE cross
Give details of mountain marathons, fell running, hill walking, navigation skills (please do not include road running).
right to refuse entry from persons considered to have insufficient experience or disqualify those who fail to follow the rules and conditions: ignorance is no excuse. We agree that my name, age, event successes and town (location only) and photos taken at the event may be published on OMMwebsites. We confirm that the details written about us on this entry form are true.
Give details of mountain marathons, fell running, hill walking, navigation skills (please do not include road running).
PREVIOUS EXPERIENCE ON MOUNTAINS
DECLARATION We understand the severity of this event and have the necessary experience to safely undertake it. We therefore do not hold OMM (or any of it’s agents) responsible for any damage or illness sustained to me or my property or any consequential loss during or after the event. We agree to abide by the rules and conditions laid down for the event. We accept that the organisers reserve the
SIGNED
TEAM MEMBER 2
SIGNED
DATED
PREVIOUS EXPERIENCE ON MOUNTAINS
DATED
PLEASE NOTE: Cheques will be cashed at time of receipt. This does not mean that your entry has been accepted for the event. Full refunds will be made after the draw has taken place to all unlucky applicants.
TEAM MEMBER 1
Only one signature is required on the form, but both members will be required to sign acceptance of the OMM conditions/kit list at registration.