Cross Country Event Licensing - Application

UK Athletics

Section 1 - Contact Details

Contact Name: *
Email Address: *
Mobile Number: *

Section 2 - Competition Details

Event Name: *
Competition Provider: *

The Competition Provider must be currently affiliated to one of the four Home Country National Associations to ensure that UKA Public Liability insurance cover applies to the event.
National Governing Body: *

Please select the Country where this event will take place.
Event Type: *

Competitions will be granted a licence in line with the published Home Country National Association competition framework. click here/
Event Date: *

Event Venue: *



Please ensure the venue has been confirmed.
I confirm that I have selected an appropriate cross country course which adheres to the principles of a cross country course outlined in rule TR56 and that a dynamic risk assessment has been created for this course and will be regularly reviewed: *
Division:

Only add if part of a league.
Host Club:

Only add if part of a league.


Has permission been sought and given by the Landowners / Local Authority?: *
Is the Event Sponsored?: *
Sponsor Name (if applicable):
Have the Police been informed?: *
Will the Police be in attendance?: *
Has the Event been held before?: *
If so, please state date of last event and last Licence No.(if applicable):
Are there age group races?: *
Will the event provide races for both males and females, either as separate or joint races?: *
Start time of the first race: *
Please indicate below the distances of your races (see UKA Rule T3 S3 for maximum licensed distances).
Masters
Seniors
Mens
Womens


Please indicate the distances of your age group races below. Cross Country recommended distances are included in UK Athletics Rule book TR3 S4 (2).
If you wish to exceed these limits, please contact cceventlicensing@uka.org.uk
U20
U18
U16
U14
U12
U10
Mens
Womens


How many runners do you anticipate taking part in your largest race of the day?: *

If multiple age groups running together, numbers should be added together.
Entry fees for the event:

In £. Unattached runners to be charged an additional £2 levy.
Event Referee:

The Event Referee must be a Level 2 Endurance official (minimum).
Event Referee UKA Officials Ref:
Has a Technical Delegate been appointed?: *

Technical Delegate Appointed
Notes: He/she is charged to undertake a watching brief over all aspects of the event. To provide a detailed report of their findings and make suggestions / recommendations for future improvements. *Not a mandatory role*


I confirm that the appropriate medical cover has been appointed for the event: *

NOTE: Should your first aid provider be late or cancel, as the organiser, you must satisfy yourself that first aid requirements have been met before proceeding with the event.




Please supply a copy of the event prospectus and paper / online entry form details.
Prospectus / paper / online entry form:
Entry details (if applicable).:


Please note any conditions or qualification necessary for entry.
Online Event Details:
Please enter a valid website, entry link or email address where a competitor could find further information. This will be published on the UKA and EA website. Please leave blank if you do not wish these details to be shared.

Section 3 - Equipment

Chip Timing: *

Section 4 - Additional Requirements


I agree that I, or the hosts within the leagues have completed a risk assessment: *

Section 5 - Terms and Conditions

I agree that:
  1. UK Athletics Rules for Competition, as supplemented by specific local competition requirements, will be applied and fully accredited Technical Officials must be appointed.
  2. Upon completion of the event, I agree to submit a post-event report form when requested
  3. I understand that a £2 fee is payable for all senior unattached runners.
  4. Power of Ten may reject results if appropriate Technical Officials are not appointed.
  5. The UK Athletics Licensing standards for the safe conduct of Cross Country Events, including comprehensive risk assessments, will be operated at all times.
  6. No event will be scheduled for longer than 8 hours on any one day unless additional Technical Officials are appointed.
  7. I agree we have added the UKAD wording to our entry information for our event. See right.:






All participants (including athletes and athlete support personnel) in any licensed event are bound to UK Athletics’ anti-doping rules and must make themselves familiar with these rules. Organisers of licensed events are expected to cooperate with UK Anti-Doping with regards to any code-compliant anti-doping investigations and proceedings linked to their event or participants in their event, and to include the following statement regarding anti-doping compliance, provided by UKAD, within their event registration process:
“An entrant shall be deemed to have made himself/herself/themself, familiar with, and agreed to be bound by the UKA Anti-Doping Rules and to submit to the authority of UK Anti-Doping in the application and enforcement of the Anti-Doping Rules. The UKA Anti-Doping Rules apply to entrants participating in the sport of Athletics, for 12 months from the date of entering the event, whether or not the participant is a citizen of, or resident in, the UK."

Your Name: *
Office Held with Competition Provider: *

Permission to promote will be confirmed by the issuing of a licence applicable to the specific application.


I agree to the Terms and Conditions: *

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