Essex Selection Declaration Form 2024
Easter Counties 10k
Southern Counties 10k

If you are eligible to run for Essex, have achieved the time standards listed below, and would like to be considered for selection in upcoming 2024 Road Running Events, please complete the form below.

Standards for Selection:

Men: Sub 33:00 / Women: Sub 39:00

The Essex Road Running team manager(s) will pick a team for each of the events from the list of athletes who complete the form and will contact athletes in the weeks leading up to the event.
1.Confirm Eligibility to Represent Essex(Required.)
2.Name(Required.)
3.Gender(Required.)
4.Club(Required.)
5.Email Address(Required.)
6.Mobile Number(Required.)
7.Current 10k PB
(MM:SS)(Required.)
8.Date of Current 10k PB
(DD/MM/YY)(Required.)
9.Estimated 10k time for October/November 2024
(MM:SS)(Required.)
10.I confirm that I am available and, if selected, would like to represent Essex at the following up-coming Inter County Events (you may select more than one):(Required.)