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Uk 01462 455016 info dyspraxiafoundation.org. uk Name Age if under 18 applicants should be 15 yrs or over on 9th July 2017 Address Postcode Email TShirt Running Vest Size please circle S / M / L / XL I enclose my registration fee of 35 and pledge to raise a minimum of 100 for the Dyspraxia Foundation. Signature parent/guardian if under 18 Please return the completed form and cheque made payable to Dyspraxia Foundation to Road Race 2017 8 West Alley Hitchin Herts SG5 1EG Registered Charity No...

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