This form is for the use of current members and coaches of Pitreavie AAC to notify a performance for consideration as a club record. All submissions will be reviewed and verified prior to acceptance.

Athlete Details*

First

Last

E-mail contact*

Section (please select)*

Track&Field

Road

Sex*

Male

Female

Performance*

Indoor

Outdoor

Age Group*

Select valueU11BU13BU15BU17MU20MSen MVet M35Vet M40Vet M45Vet M50Vet M55Vet M60Vet M65U11GU13GU15GU17WU20WSen WVet W45Vet W50Vet W55Vet W60Vet W65Other

Event:*

Select value60m100m150m200m300m400m600m800m1200m1500m1 Mile2000m3000m2 Miles5000m10000mHalf MarathonMarathon1500m steeplechase2000m steeplechase3000m steeplechase60m Hurdles70m Hurdles75m Hurdles80m Hurdles100m Hurdles110m Hurdles300m Hurdles400m HurdlesHigh JumpLong JumpTriple JumpPole VaultShot PuttDiscusHammerJavelinTriathlonQuadrathlonPentathlonHeptathlonOctathlonDecathlonRelay- describe belowNot Listed

Date of performance:*

Your performance:*

Venue:

Supporting information: please provide any other relevant details eg. meeting details, wind speed, indicate if this is a National record, SATS Top 10 performance etc. Temporary - please do not paste http: links into this field as currently it prevents correct form submission

Word Verification:

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Written by Andy Johnston