Entry form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" width=200 BGCOLOR="#FFFFFF" TEXT="#080000" background="042d4c03.jpg"> <bR> </td> <td valign="top" BGCOLOR="#00FF33" TEXT="#080000"> <div> <FONT SIZE="5" COLOR="#006600" FACE="Arial" ><B>The Grenochase 2002</B></FONT> <FONT SIZE="1" COLOR="#333399" FACE="Arial" >   |  </FONT><FONT SIZE="1" COLOR="#009900" FACE="Arial" > </FONT><FONT SIZE="2" COLOR="#009900" FACE="Arial" >  <A HREF="index.htm" TARGET="_top" TITLE="The Grenochase 2002"><U>home</U></A></FONT></div> <div> <A HREF="id2.htm" TARGET="_top" TITLE="About the Chase"><U>About  the Chase</U></A>   |   <A HREF="id3.htm" TARGET="_top" TITLE="Previous winners "><U>Previous winners </U></A>   |   <A HREF="id23.htm" TARGET="_top" TITLE="The Committee"><U>The Committee</U></A>   |   <A HREF="id24.htm" TARGET="_top" TITLE="Chase Checkers"><U>Chase Checkers</U></A>   |   <A HREF="id25.htm" TARGET="_top" TITLE="Chase Games"><U>Chase  Games</U></A>   |   <A HREF="id26.htm" TARGET="_top" TITLE="2002 results"><U>2002 results</U></A>   |   <A HREF="id27.htm" TARGET="_top" TITLE="2002 pics"><U>2002 pics</U></A>   |   <A HREF="id4.htm" TARGET="_top" TITLE="More Information"><U>More Information</U></A>   |   <A HREF="id16.htm" TARGET="_top" TITLE="History"><U>History</U></A>   |   <A HREF="id17.htm" TARGET="_top" TITLE="The course"><U>The course</U></A>   |   <A HREF="id18.htm" TARGET="_top" TITLE="The Sponsors"><U>The Sponsors</U></A>   |   <A HREF="id20.htm" TARGET="_top" TITLE="Chase Quiz"><U>Chase Quiz</U></A>   |   <A HREF="id21.htm" TARGET="_top" TITLE="Chase Crossword"><U>Chase Crossword</U></A>   |   <A HREF="id6.htm" TARGET="_top" TITLE="Contact Us"><U>Contact Us</U></A>   |   <B>Entry form</B>   |   <A HREF="id19.htm" TARGET="_top" TITLE="Why not enter online"><U>Why not enter online</U></A>   |   <A HREF="id22.htm" TARGET="_top" TITLE="Runners this year"><U>Runners this year</U></A></div> <div> Entry form</div> <div>  <!doctype html public "-//w3c//dtd html 4.0 transitional//en"> <html> <head> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"> <meta name="" content="Mozilla/4.51 [en] (Win98; I) [Netscape]"> <meta name="GENERATOR" content="Mozilla/4.51 [en] (Win98; I) [Netscape]"> <title>;natsam design; grenochase; fun run</title>    </head> <body text="#008000" bgcolor="#FFFFFF" link="#0000EE" vlink="#551A8B" alink="#FF0000" topmargin="1"> <center><b><font color="#CC0000">Please print off and leave at the Angel with your entrance fee</font></b></center> <center><table BORDER WIDTH="600" BGCOLOR="#66FF99" > <tr> <td BGCOLOR="#FFFFFF"> <center><form ACTION="mailparse.php3" METHOD=POST></center> <table BORDER=0 CELLPADDING=0 WIDTH="100%" BGCOLOR="#33FF33" > <tr> <td ALIGN=RIGHT> <center><b><font color="#000000"><font size=+2>The Grenochase</font></font></b> <br><b><font color="#000000"><font size=+2>2002</font></font></b> <br><b><font color="#000000"><font size=-1>entry form</font></font></b></center> <font size=-1> </font></td> <td> <blockquote> <center><font color="#000000"><font size=-1> </font></font></center> </blockquote> </td> </tr> <tr> <td> <div align=right><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>Surname:</font></font></font></b></div> </td> <td><input TYPE="text" size="37" NAME="Surname"></td> </tr> <tr> <td ALIGN=RIGHT><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>Forename(s):</font></font></font></b></td> <td><input TYPE="text" size="37" NAME="Forename"></td> </tr> <tr> <td ALIGN=RIGHT><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>Gender:</font></font></font></b></td> <td><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>Male<input type="radio" name="gender" value="Male"> Female</font></font></font></b><input type="radio" name="gender" value="Female"></td> </tr> <tr> <td ALIGN=RIGHT><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>Age:</font></font></font></b></td> <td><input TYPE="text" size="37" NAME="Age"></td> </tr> <tr> <td> <div align=right><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>Date of birth:</font></font></font></b></div> </td> <td><input TYPE="text" size="37" NAME="Age"></td> </tr> <tr> <td> <div align=right><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>Weight:</font></font></font></b></div> </td> <td><input TYPE="text" size="37" NAME="Age"></td> </tr> <tr> <td> <div align=right><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>Height:</font></font></font></b></div> </td> <td><input TYPE="text" size="37" NAME="Age"></td> </tr> <tr> <td ALIGN=RIGHT><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>Address:</font></font></font></b></td> <td><textarea NAME="Address" COLS="30" ROWS="4"></textarea></td> </tr> <tr> <td ALIGN=RIGHT><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>Post code:</font></font></font></b></td> <td><input TYPE="text" NAME="Postcode"></td> </tr> <tr> <td ALIGN=RIGHT><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>Phone Number (inc. code):</font></font></font></b></td> <td><input TYPE="text" size="37" NAME="Phone_number"></td> </tr> <tr> <td ALIGN=RIGHT><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>Email Address:</font></font></font></b></td> <td><input TYPE="text" size="37" NAME="Email"></textarea></td> </tr> <tr> <td ALIGN=RIGHT><font size=-1></font></td> <td><font size=-1></font></td> </tr> <tr> <td> <center><b><u><font face="Arial,Helvetica"><font color="#000000"><font size=-1>£5.00 entry fee</font></font></font></u></b> <br><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>will be collected when you </font></font></font></b> <br><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>submit your entry form to the</font></font></font></b> <br><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>Angel public house on Main Street in Grenoside</font></font></font></b></center> </td> <td> <center><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>Sorry no club runners allowed</font></font></font></b></center> </td> </tr> <tr> <td> <center><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>I understand that I am taking part in the Grenochase at my own risk. and accept the committee decision as final</font></font></font></b></center> </td> <td><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>      Signed_______________________</font></font></font></b></td> </tr> <tr> <td> <center><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>Sponsored by Supersalon Sweeny 4</font></font></font></b> <br><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>Ecclesall Rd</font></font></font></b></center> </td> <td> <center><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>The Angel Grenoside</font></font></font></b> <br><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1>and White Rose Inns</font></font></font></b></center> </td> </tr> <tr> <td COLSPAN="2"> <center><b><font face="Arial,Helvetica"><font color="#000000"><font size=-1> The committee hold no responsibility for any personal loss, injury or illness during any races</font></font></font></b></center> </td> <td><font size=-1></font></td> </tr> </table> </form></td> </tr> </table></center> <center><font face="Arial,Helvetica"><a href="page 2.html">return</a></font></center> </body> </html>  </div> </td> </tr></table></body>