Solo Entry Form

western isles challenge

solo entry form

Please enter the details requested - you can do this offline and then reconnect to your service provider to submit the form.

Please note the following:

1	In the "Experience" section, we will be looking for evidence of competition in adventure races, mountain marathons and/or other events requiring navigation and outdoors as well as running skills
2	The BCU 4-Star Certificate was formerly the Sea Proficiency Certificate, which will also be acceptable, as will non-UK or Forces equivalents. If the Certificate has already been obtained, please send a copy to Gordon Brown at Blair View, 1 Hillside Cottages, Dalry, Scotland, KA24 4DP

Your Name
Age at 30th April 2000		Male Female
Have you competed in previous Challenges?		Yes No
If Yes, please give year(s)
If UK-based:Area of the country where you live
Country (if outside the UK)
Your Address		(Street Address)
		(Town)
		(County/State)
Post/Zipcode
E-mail Address
Daytime Telephone		(Please add country code if ex-UK)
Home Telephone
Fax
Do youhave a BCU 4 Star Certificate?		Yes No
*Experience* If you do not have a BCU Certificate, please include a description of your open-water sea kayaking experience
Estimated number in your backup team
I expect to use the event to raise money for Charity		Yes No
If yes, which Charity?

My entry fee of £150 (inc VAT) will be sent by cheque
Please charge my fee to this credit card
Card Number
Expiry		(mm/yy)
Name on the Card

Declaration	(By submitting this form you are agreeing to this Declaration)

I have read, understood and accept the outline rules for the Western Isles Challenge 2000