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1. Name (Required.)

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2. Date of birth (Required.)

Date

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3. Email 
(Required.)

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4. Mobile number (Required.)

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5. Which of the legs would you be willing to run? (You'll only run one leg but tick all the legs you'd be happy to take on) (Required.)

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6. T shirt size (Required.)

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7. Have you any medical conditions that the race organisers should be aware of? (Required.)

All information provided will be treated confidentially

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