RACE WALKING ASSOCIATION

 APPLICATION FOR PERMISSION TO PROMOTE AN OPEN RACE WALKING MEETING
 
Name of Meeting


Date Venue Category

Promoting Body


Event Secretary

Name


Address

 Telephone Number
 Fax Number
E-mail Address

[If you are applying for several permits, you need not enter Address,
Telephone/Fax Numbers and E-mail Address on the subsequent applications.]

 Is the event to be held on Road or Track ?
If the event to be held on the road, have the police been informed? Yes or No

If the police have not been informed of a road race, please indicate the reason below

PLEASE LIST DISTANCES AND AGE CATEGORIES

PLEASE INDICATE WHAT FIRST AID PROVISION WILL BE MADE


If the event is on the road, has a risk assessment been carried out?
Yes or No

Will the judging be in accordance with R.W.A. Rule for Competition No.4?
Yes or No
Note: it is unlikely that a Permit will be issued if the above answer is "No"

ANY ADDITIONAL INFORMATION


Date of Application

  Your Permit will be sent by post, together with a Levy Return Form and an s.a.e.
The Permit Fee of £3·00 must be paid when the levies are returned.
If you do not receive your Permit within fourteen days, please contact the Honorary General Secretary

To clear the Form and start again: To send the Form:
To abandon the Form, return to FIXTURES