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JANE McGRATH CLASSIC ENTRY FORM

 JANE McGRATH CLASSIC ENTRY FORM

 

To enter the Jane McGrath Classic please complete this online entry form. Please ensure this form is completed correctly and accurately and that you read and understand the Conditions of Entry.

 * Required Fields
Surname *
First Name *
Address *
Suburb *
State Post Code *
Phone *
Email *
Emergency Contact Name *
Emergency Contact Phone *
  
 

Individual Entry

Age *
Sex
I am entering the Walk Event
I am entering the Run Event
  
 

Family Entry

* Please include your registration name again here, if you are entering as a family.

 
NAMEAGECATEGORYEVENT
 
  
 

Your Agreement Required

I accept the Conditions of Entry   Conditions of Entry (tick required to process form)
  
 
Total Cost $ 0
  
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