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Email:
Address:
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Address Line 1:
Address Line 2:
City:
Postcode:
Entry Details
Entry Type:
£14.00 - Unaffiliated
£12.00 - Affiliated
Affiliated Club:
Registration Number:
This club name has not been recognised. Only proceed if you are sure the name is correct and that your club is affiliated to your sport’s governing body.
Contact in Case of Emergency:
Phone in Case of Emergency:
Additional Information:
Team Member
First Name:
Last Name:
Date Of Birth:
Gender:
Male
Female
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