Fitzwilliam District - Scout Athlete Badge: Pre-registration Form

Use this form to pre-register for the Fitzwilliam District Scout Athlete Badge which is being held at the Wombwell Athletic Track, behind the Station Inn, Station Road, Wombwell on Sunday 28th June 2009. Please be at the track for 1.30pm on the day.

* Required

Your First Name *

Your Last Name * Surname

Your Age (on 28th June 2009) * Choose from the list

Male or Female *

Male
Female

100m Sprint Would you like to take part in the 100m Sprint?

200m Sprint Would you like to take part in the 200m Sprint?

300m (Girls Only) Would you like to take part in the 300m?

400m (Boys Only) Would you like to take part in the 400m?

800m Would you like to take part in the 800m?

1500m Would you like to take part in the 1500m?

Long Jump Would you like to take part in the Long Jump?

Discus Would you like to take part in the Discus?

Shot Put Would you like to take part in the Shot Put?

Cricket Ball Throwing Would you like to take part in the Cricket Ball Throwing?

Please enter your email address Optional