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Events Registration Form NAME OF EVENT THE REAPER OCR MUDDY MINORS 6-15 YRS Saturday 25th march 2017 FIRST NAME SURNAME ADDRESS and POST CODE TELEPHONE CONTACT NO. L yes XL no I PLEDGE TO RAISE 40 IN SPONSORSHIP IN RETURN FOR A FREE CHARITY PLACE IN SUPPORT OF ZOES PLACE BABY HOSPICE. SIGNATURE. YES NO Please specify any conditions and medication that the race medical team should be aware of. Conditions Medication It is your...
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