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First Name:
Last Name:
Date Of Birth:
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Address:
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Entry Details
Entry Type:
£74.00 - Race Credit opening balance (£50 credit plus £24 account service charge)
£124.00 - Race Credit opening balance (£100 credit plus £24 account service charge)
£174.00 - Race Credit opening balance (£150 credit plus £24 account service charge)
£224.00 - Race Credit opening balance (£200 credit plus £24 account service charge)
£0.00 - Additonal account member
Affiliated Club:
Registration Number:
This club name has not been recognised. Only proceed if you are sure the name is correct and that your club is affiliated to your sport’s governing body.
Contact in Case of Emergency:
Phone in Case of Emergency:
Additional Information:
Team Member
First Name:
Last Name:
Date Of Birth:
Gender:
Male
Female
Non-binary
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First Name:
Last Name:
Date Of Birth:
Gender:
Male
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Non-binary
Contact Details
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Contact Telephone:
Email:
Address:
Enter Address Manually
Address Line 1:
Address Line 2:
City:
Postcode:
Entry Details
Entry Type:
£74.00 - Race Credit opening balance (£50 credit plus £24 account service charge)
£124.00 - Race Credit opening balance (£100 credit plus £24 account service charge)
£174.00 - Race Credit opening balance (£150 credit plus £24 account service charge)
£224.00 - Race Credit opening balance (£200 credit plus £24 account service charge)
£0.00 - Additonal account member
Affiliated Club:
Registration Number:
This club name has not been recognised. Only proceed if you are sure the name is correct and that your club is affiliated to your sport’s governing body.
Contact in Case of Emergency:
Phone in Case of Emergency:
Additional Information:
Team Member
First Name:
Last Name:
Date Of Birth:
Gender:
Male
Female
Non-binary
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