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Women and Children First (UK)



 
If you apply today, the charity has until 5pm on Mon 16th Sep 2019 to approve or decline your application.
I already have a my details account >>

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Title:
First name:
Surname:

Address:


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County:

Postcode:

Country:

Nationality:
Gender:


Date of Birth:


Mobile:


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Email address:

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School Information

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Emergency contact information

Firstname:
Surname:
Telephone number:

Medical Information

Do you have a medical case which we should know about as part of your entry?
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Entry Information

2020 EMF Junior 2k Race 2 predicted time
Please tick this box if you are planning to participate in the event using a handbike or wheelchair.
Would you like our accommodation partner to contact you with accommodation rates ?

Predicted Fundraising target

£

Disclaimer and Terms and Conditions




 

I agree to the above disclaimer.

I agree to the Terms and Conditions.

As you are under 16 years of age please check this box to confirm you have notified a responsible adult about your entry




Registered Charity Number in England and Wales 1085096

Women and Children First (UK)SHOW CONTACT DETAILS