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* 1. Name

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* 2. Date of birth

Date

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* 3. Email 

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* 4. Mobile number

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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)

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* 6. T shirt size

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

All information provided will be treated confidentially

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