GRANTHAM ATHLETIC CLUB
CLUB-RECORD CLAIM

Please note that claims are not required for Lincs League, Young
Athletes League, Northern League or Lincolnshire County Championships.

Name: ............................................................  Age Group: ..........................

Event: .............................................................  Time/Distance: .........................

Competition: ...................................................................................
eg. Open Meeting; Schools Championship [please note that School results
cannot be accepted unless at a County or a Regional/National Championship]:
    
Venue: .........................................................    Date of competition: .............................
 

Signature of Athlete: ...............................................................................

Name of Person Confirming the Result: .........................................................

please circle:  Track/Field Referee;  Meeting Organiser; Athlete's Team Manager;

or other Official Role: .....................................................

Signature of Person Confirming the Result: ....................................................

Please send the completed form to:

    Tony Woollard, 89 Grantham Road, Bottesford, Nottingham, NG13 0EG

or hand it in at the desk on Training Night