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Entry Form

Team Name (required)

Team Leader Name (required)

Email Address

Contact No.

Postal Address

Sponsorship Promise

Fancy Dress Theme

RACE CATEGORIES

Team Leader

Name

D.O.B.

Gender

Drink Preference (Soft drinks only for u18s)

Contestants

Name

D.O.B.

Gender

Drink Preference (Soft drinks only for u18s)

Name

D.O.B.

Gender

Drink Preference (Soft drinks only for u18s)

Name

D.O.B.

Gender

Drink Preference (Soft drinks only for u18s)

Name

D.O.B.

Gender

Drink Preference (Soft drinks only for u18s)

Name

D.O.B.

Gender

Drink Preference (Soft drinks only for u18s)

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