Coxhoe Trail Run 2019
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First Name *
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Surname *
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D.O.B *
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Address *
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Postcode *
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Email Address *
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Telephone Number *
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Are you: *
Age on race day *
(Must be 17 years old on race day)
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T-Shirt size *
Are you a member of an affiliated UK Athletics Club? *
If yes, name of club:
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Registration Number:
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PLEASE SIGN YOUR NAME - Declaration: *
I understand that I participate completely at my own risk and organisers will not be held responsible for any loss or injury incurred to my person, however caused, during or as a result of taking part in the race.
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