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Headcorn Half Marathon

Date 25-FEB-2018
£20-22 +service fee
1
ACCOUNT DETAILS
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2
ENTRY DETAILS
Club
e.g. Finsbury Park CC
* Address
e.g. 99 Stanley Terrace, London
* Postcode
e.g. W12 8QT
Telephone
e.g. 0208 123 4567
* Gender
Male
Female
* Date of birth
dd/mm/yyyy - just type the digits e.g. 25121960 and it will help you
Emergency Telephone
You know it makes sense
* Do you have any medical conditions?
Is there anything which an attending doctor should know about you if something unexpected should happen?
* I am UKA affiliated
Are you a member of UKAthletics (or EA, WA, SA, ANI). Membership entitles you to a discount. Please bring your membership card as evidence.