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Entry Form Details: Juniors U15 & U17 Race, 21/10/2012 - Entrant 1
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First name:  *
Last name:  *
Address Line 1:  *
Address Line 2 (opt): 
Address Line 3 (opt): 
City/town:  *
County: 
Post code:  *
 
Telephone number (day):  *
Email:  *
Re-type email:  *
 
Date of birth: 
 *
Gender:  *
 
Expected time for distance (opt): 
Are you a member of an affilliated club?  *
Affiliated club:  *
UKA Affiliated Registration Number:  (if known)
Team name (opt): 
 
Do you have any medical conditions that the organisers should be aware of in case of emergency?
 
Any additional comments or information you wish to pass on to the race organiser:
* Required field
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