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About You
First Name:
Last Name:
Date Of Birth:
Gender:
Male
Female
Contact Details
Contact Telephone:
Email:
Address Line 1:
Address Line 2:
City:
Postcode:
Entry Details
Entry Type:
£13.16 - Affiliated Entry (£13.00 + Online booking fee)
£15.26 - Unaffiliated Entry (£15.00 + Online booking fee)
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 name in case of emergency:
Contact number in case of emergency:
Additional Information:
Team Mate
First Name:
Last Name:
Date Of Birth:
Gender:
Male
Female
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First Name:
Last Name:
Date Of Birth:
Gender:
Male
Female
Contact Details
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Contact Telephone:
Email:
Address Line 1:
Address Line 2:
City:
Postcode:
Entry Details
Entry Type:
£13.16 - Affiliated Entry (£13.00 + Online booking fee)
£15.26 - Unaffiliated Entry (£15.00 + Online booking fee)
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 name in case of emergency:
Contact number in case of emergency:
Additional Information:
Team Mate
First Name:
Last Name:
Date Of Birth:
Gender:
Male
Female
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