Pangbourne 10k Entry Form

You will need to collect your race number and timing chip on the day of the race. The collection point will be at the entrance to the Pangbourne Primary School playing field, behind the school buildings, and will be open from 9:00am.

License Number: 2016-22918

Enter your details in the form below, and then click Continue.

Date & Time
First Name 
Last Name 
Town / City 
Contact Number
Female  Male
Date of Birth 
Open the calendar popup.
Race Category
Affiliated Club
Club Name
UKA Affiliated Reg No

Extra Donation

The Pangbourne 10k is a fund raising event for Pangbourne Primary School. (Friends of Pangbourne Primary School Registered Charity number 1067731).

All profits from the Pangbourne 10k will support valuable initiatives for the children of Pangbourne Primary School. This includes new ICT equipment, playground improvements and sports clubs/facilities. Thank you for your generous support; it makes a big difference.
We would like to thank all runners for their entry fees and donations and hope that they enjoy the race.
Donation: £5
Gift aid it Using Gift Aid means that for every pound you give, we can reclaim an extra 28 pence from the Inland Revenue, helping your donation go further. If you are a UK taxpayer and want to take advantage of Gift Aid, please confirm the statement below by ticking the check box provided.
I want this donation to be treated as a Gift Aid Donation
You must pay an amount of Income Tax and / or Capital Gains Tax for the tax year (6 April 2017 to 5 April 2018) that is at least equal to the amount of tax that the charity will reclaim on your donation for the tax year.

Please notify the charity if you:
1. Want to cancel this declaration.
2. Change your name or home address.
3. No longer pay sufficient tax on your income and / or capital gains.

Tax claimed by the charity
  • The charity will reclaim 25p of tax on every £1 you give on or after 6 April 2008.
If you pay income tax at the higher rate, you must include all your Gift Aid donations on your Self Assessment tax return if you want to receive the additional tax relief due to you.
What is your main reason for entering the Pangbourne 10k?
How did you hear about this event?
Would you child be interested in running in the Pangbourne 10k junior races?
Yes  No
If "Yes" do you have any children that would be likely to enter an event if the distance was suitable? How many are currently in each of the following age ranges:
5 - 7 years
8 - 10 years
11 - 13 years
14 - 16 years
We would appreciate any feedback on the last Pangbourne 10k, so we can organise an even better 10k.
I am medically fit and understand that I enter the race at my own risk and that the organisers and associated organisations will in no way be held responsible for any injuries incurred to my person during or as a result of this event. I am an amateur as defined by U.K.A. rules and will be 15 years or over on 10 September 2017. I understand that the organisers reserve the right to delay or cancel the race in the event of adverse weather conditions, or other events outside the organisers’ control. The determination of what constitutes this is reserved solely to the Race Organisers. Entry fees are not refundable even in the case of event cancellation. Photographs and videos of the race will be taken for publicity purposes and I understand that my image may be used and give permission for it to be used.
I understand this statement and agree to be bound by its contents  
Shopping Card
To submit entry please click Continue.
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