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Burlish Bike Park Waiver
Please complete this waiver for all riders participating
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* Indicates required question
Email
*
Your email
Full name (first and surname)
*
Your answer
OPTIONAL: participant 2 full name (from same address)
Your answer
OPTIONAL: participant 3 full name (from same address)
Your answer
OPTIONAL: participant 4 full name (from same address)
Your answer
OPTIONAL: participant 5 full name (from same address)
Your answer
Date of birth (if under 18) dd/mm/yyyy (participant 1)
Your answer
OPTIONAL: participant 2 Date of birth (if under 18) dd/mm/yyyy
Your answer
OPTIONAL: participant 3 Date of birth (if under 18) dd/mm/yyyy
Your answer
OPTIONAL: participant 4 Date of birth (if under 18) dd/mm/yyyy
Your answer
OPTIONAL: participant 5 Date of birth (if under 18) dd/mm/yyyy
Your answer
Mobile Phone
*
Your answer
House name/number
*
Your answer
Postcode
*
Your answer
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