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Wright Hassall Leamington Regency 10k

Entry fees £21 unaffiliated to UKA running club, £16 member of UKA club.

Date 15-APR-2018
£21
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ACCOUNT DETAILS
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ENTRY DETAILS
Title Sponsor
* Address 1
e.g. 99 Stanley Terrace
Address 2
* Town/City
* Postcode
Telephone
e.g. 0208 123 4567
Sponsor
* Gender
Male
Female
* Date of birth
e.g. 21-Sep-1961
* Age on race day (minimum 15yrs)
* I am UKA Affiliated (member of a running club)
Sponsor
If you are running for a corporate team please give the name.
* T-Shirt size; a cotton T-shirt will be given to all finishers
Extra Large
Large
Medium
Small
Technical T-shirts and other branded merchandise may be made available from a preferred supplier. Details will be shared in Jan/Feb 18 via www.regency10k.co.uk
Sponsor
* Do you have any medical conditions
* Emergency contact name
Contact name in case of emergency e.g. 'Bard Norris'
* Emergency Telephone
Contact telephone number in case of emergency e.g. 0208 123 4567
Sponsor
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ADDITIONAL
Enter a discount/voucher code, if you have one, here