2009 Children's Duathlon Entry Form
       
Name
Boy/Girl
Address

 
Postcode
Email
Telephone
Club
Age on 30/8/09
Please enter me for the Mildenhall Cycling Rally Children’s Duathlon on Sunday 30th August 2009. I understand that I enter entirely at my own risk and I accept that the organisers will not be liable for any loss, damage, action, claims, costs or expenses which may arise in consequence of my participation in this event.
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Signed
Date
 
Date
  (Signature of parent or guardian)    
Please make cheques payable to Mildenhall CC enclosing an SAE and send to 7 Jellicoe Place, Thetford, Norfolk. IP24 2JU.