Claim a Club Record

When your form is complete please press SUBMIT. The information will be sent to the Club Statistician who will contact you – please be patient.

Note: Items marked * are required

Full Name *
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email address *
Please enter a valid email address.
Telephone number *
eg 07865 876543
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Gender
* Please select
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Age (years) *
eg 11
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Category
* Select the category (Track/Field/Road) for your record
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Event Type *
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Result (Time or Distance) *
Examples 1h3m23s for time or 1.85m for height/distance
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Venue or Location *
eg Wilmslow 10 or Northern Champs
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Date of Result *
Select date from calendar
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Link to the results
Any link that verifies the result
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Any other useful information
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Event Image - for news article (optional) - only one image can be added
Please use this link to upload an image associated with the event that you may wish to be considered in a future Club article. (Ideally the image(s) should be 1902x1080px and ~1mb in size). File Types accepted - PDF, JPG, JPEG, BMP, PNG. Only one file can be submitted. If you need to add more please mention this in the text and the club statistician will contact you.
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Please tell us that you are not a robot ... 30 - 11 = ?
Enter the equation result to proceed