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North Down Borough Council
Town Hall
The Castle

Tel: +44 (0)28 9127 0371
Fax: +44 (0)28 9127 1370

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North Down Borough Council, Town Hall, The Castle, Bangor BT20 4BT Tel: +44 (0)28 9127 0371 Fax: +44 (0)28 9127 1370
Privacy Statement|Access to Council Information

Bangor 10k Applicant Details
Surname:
Forname(s):
Gender:	MaleFemale
House Name/Number:
Street:
City/Town:
County:
Postcode:
Telephone:
Email:
Date of Birth (DD/MM/YYYY):	Date and timeNow
Age on Race Day:
Wheelchair User:	YesNo
Affiliated Athletic Club Runner:	YesNo
If Yes, please give the full name of the club:
If you are competing as part of a non athletic club team, please enter the FULL NAME of the team:
Price per runner:
How did you hear about Bangor 10k:	Website Newspaper Advertisement Flyer Other
Other - Please State:
I am an amateur as defined by Athletics NI and agree to abide by their rules. I understand that my details will be held on computer to assist in the administration of this event. I also agree not to run with any prior knowledge of injury or illness. I accept that neither the sponsors, the organisers nor their servants will become liable for any injury, loss or action claim (howsoever occasioned) resulting from this event. Checking the box below is considered acceptance of these conditions. North Down Borough Council values your right to personal privacy. Full details of our Fair Processing Statementcan be found at www.northdown.gov.uk
Signature:
Date:	Date and timeNow