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Ravensbourne Fun Run and Walk
Ravensbourne Fun Run and Walk
12th November 2011 8.30 start
Ravensbourne Sporting Grounds
Cnr Esk Hampton Rd and National Park Rd
REGISTRATION FORM
NAME: ___________________________ AGE DIVISION _________ M/F
DIVISION: 6km / 3km
DIVISION: 6km / 3km
Contact details: ________________________________________________________________________
DECLARATION: I hereby acknowledge that I am entering the Ravensbourne Fun Run to be held on 12/11/2011 at my own risk and agree not to bring any claim for any reason against any person directly or indirectly associated with the conduct of this event.
Signature: ______________________________ Date: _______________
UNDER 18 DECLARATION:
I __________________________ of _________________________________________________
I __________________________ of _________________________________________________
Being the parent of the above named entered do hereby indemnify all companies and persons to claim in respect whosoever directly from Ravensbourne Sporting Association Fun Run.
Signature: ______________________________ Date: _________________