Section 1 of 4
Rother Valley Relay Teams 2023
Please complete this form for each team you submit
Maltby RC
Maltby RC
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Ackworth Road Runners
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Section 2 of 4
Category
Mixed
Team category
Team category
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Section 3 of 4
Runners
Remember 4 in each team of Sen Male, MV40, MV50 and Mixed. 3 in Sen Fem, FV40, FV50, FV60 and Male V60
Gail Barber
Gail Barber
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05.01.1966
05.01.1966
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Sandra Davies
Sandra Davies
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Runner 2 16.1.1963
Runner 2 16.1.1963
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Runner 3 Name Rosie Davies
Runner 3 Name Rosie Davies
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Runner 3 9.8.1992
Runner 3 9.8.1992
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Runner 4 Name Andy Bowmer
Runner 4 Name Andy Bowmer
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Runner 4 DOB 10.12.1958
Runner 4 DOB 10.12.1958
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Section 4 of 4
Payment
Please make a club payment by May 8th 2023. £20.00 per each team of 4, £15.00 per each team of 3.
Please transfer total amount for all teams entered to:
Bank: HSBC
Account name: Hillsborough & Rivelin Running Club
Account number: 42069628
Sort Code: 40-41-18
Please transfer total amount for all teams entered to:
Bank: HSBC
Account name: Hillsborough & Rivelin Running Club
Account number: 42069628
Sort Code: 40-41-18
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