Race Day Entry Application Form

Race Day Entry

Application Form

Use this form to apply for CSSC's Race Day Entry Funding

Your Details

First Name*

Surname*

Email Address*

Contact Number*

CSSC membership number*

Membership numbers now start with a 3 and are 8 digits long

Sort Code*

6 digits only no spaces or dashes.

PLEASE DOUBLE CHECK DETAILS - OTHERWISE PAYMENTS WILL BE DELAYED

Bank account number*

8 digits only

PLEASE DOUBLE CHECK DETAILS - OTHERWISE PAYMENTS WILL BE DELAYED

Full entry fee originally paid for event £*

Subsidy Amount claiming for £*

Entry fees between £10.00 to £20.00 = 100% of fee awarded.

Entry fees over £20.00 = £20.00 awarded.

Event Date*

Only claim AFTER THE EVENT has taken place.

Event name*

Event Type*

Select or enter value

Event type other

Link to results page

File Upload

For race entries link your results into the box above or drop files here.

Drag and drop files here or

Your Region*

Select

I confirm I have read the Guidance Notes and have noted the information below*

You may claim ONCE per calendar year. The subsidy must be claimed asap AFTER the event has taken place and no later than three months.

Send me a copy of my responses