REGISTRATION FORM

CANAL Quest 2000: Trans-Leicestershire Sponsored Walk-Saturday 20th - Sunday 21st May2000

To register as a walker: Please complete this form and return it by 7th May 2000 to: The Administrator, CANAL Quest 2000, PO Box 9999, Leicester, LE5 2WJ. (Please enclose a Stamped Addressed Envelope)

I / We wish to participate in CANAL Quest 2000. I / We have read and agree to abide by the conditions of participation published with this registration form. Please send a map and sponsorship form to each person named below. I / We hereby undertake and agree to fully and effectually indemnify the Organisers against: a) all liability whatsoever for damage to property (except where attributable to the gross negligence of the Organisers) and b) any other damage, loss, costs and expenses howsoever caused or incurred (except in cases arising from the gross negligence of the Organisers) which would not have arisen but for my registration for participation in CANAL Quest 2000 The Organisers accept no liability for any damage, loss or injury sustained by CANAL Quest participants, howsoever caused.

Name (Please print)

Address (Please print)

Telephone

Signature

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I / We wish to complete Stage(s): _______________________ indicate numbers (1-22).

Start place (a-j): _____ Start time:_____ Finish place (b-k): _____ Finish time: _____

Start place (k-v): _____ Start time:_____ Finish place (l-w): _____ Finish time: _____

Notes: For children under 16 years of age, a parent / guardian must sign this form and indicate the relationship to the child. Group Leader please place letter L after name. Disabled (wheelchair) walkers please place letter D after name. Show two start / finish places if you wish to walk on both days. This form may be photocopied for the purpose of participation in CANAL Quest 2000. Copyright ã D A Murray / CANAL Quest 2000 (REGISTRATION-2000)

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