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Palestine Marathon 2019
Please complete this form to join Penny Appeal's 5 day trip for the Palestine Marathon. A member of the challenges team will be in touch after you have registered.
Please select which race distance you are registering for *
Please state which option applies to you *
Full Name *
Your answer
Email *
Your answer
Contact Number *
Your answer
Age *
Your answer
Date of Birth *
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DD
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YYYY
Address *
Your answer
City *
Your answer
Postcode *
Your answer
Gender *
Any medical conditions we should know about? *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Accomodation is based on twin sharing rooms. If you are registering with a friend or family member, please tell us the name of person you wish to share with. *
Your answer
How did you hear about this challenge? *
Required
I would like a *
Please tell us your T shirt/Vest size
What is your personal fundraising target? *
Does your employer have a match giving scheme? *
Any other comments?
Your answer
I am happy for Penny Appeal to contact me with updates for future events and activities. (please tick box)
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