Name of Submitter (Forename first):

Email address (if you have more than one, please give the one you prefer):

Select if you want the final details emailed to you. Otherwise it will be assumed that you will get them here.

(*) No. of minutes between parent's split starts (assuming start & finish are adjacent)
(**) Late entry fees are:
£6.00 for Seniors and
£3.50 for Juniors, students and +65's

Special Requests:

Note: The results will be on the web. If you want a paper copy then put a results envelope in on the day.

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