If you would like to participate to the Red Hose Race 2008, print this form and complete it in CAPITAL LETTERS.

Title:  Mr¨                   Mrs¨              Miss¨

First name: …………………………………………………………………………...…

Surname: ………………………………………………………………………………..

Date of Birth: ___ ___/___ ___/___ ___

Phone number: ___ ___ ___ ___ ___      ___ ___ ___ ___ ___ ___

House number/Street: ……………………………………………………......................

Postcode: ___ ___ ___ ___    ___ ___ ___

Town: …………………………………………………………………………………..

County: …………………………………………………………………………………

Blood type: _________________

Please provide us with a contact name and phone number in case of emergency on the day.

Name: …………………………………………………………………………………..

Phone number: ___ ___ ___ ___ ___      ___ ___ ___ ___ ___ ___

Signature: …………………………..

Date: ___ ___/___ ___/___ ___

Send this to Friends of the Red Hose Race, 56 Main Street, Carnwath ML11 8JZ as soon as possible.

In a meantime, please feel free to contact us, should you require any more information info@redhoserace.co.uk .

We are looking forward to meeting you!