Stamford Striders

05-02-2012

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Valentines 30k

Race starts in:

The best event in the running calendar

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Fitness Fiend - Stamford. Online Diets, Nutrition and Weight Management

Step 1 of 3. Register Details

Please enter your personal details in the form below. (Fields marked with * are mandatory) Note: JavaScript must be enabled in your browser for this page to work correctly.


First Name*
Last Name*
House Number/Name
Street*
Town/City*
Post Code*
Home Phone
Mobile Phone
Date of Birth* yyyy-mm-dd	e.g. 21st Feb 1970 will be 1970-02-21
Gender
T-Shirt
Estimated Race Time hh:mm

Club Affiliation

If you are a member of an affiliated club, please tick box:

I am affiliated

Please choose your club from the list. If your club is not there, enter it in the box:

	Club:

Email Address *

Please enter a valid email address for yourself:

Email Address:	Confirm Email Address:

Valentines Pair

Tick the following box if you are entering as a valentines pair and enter your partners details:

Sorry, there are not enough places to enter a 2nd runner

First Name*
Last Name*
House Number/Name
Street*
Town/City*
Post Code*
Home Phone
Mobile Phone
Date of Birth* yyyy-mm-dd
Gender
T-Shirt
Estimated Race Time hh:mm

If your partner is a member of an affiliated club, please tick box:

Is affiliated

Please choose your partners club from the list. If the club is not there, enter it in the box:

	Club:


Please enter a valid email address for your partner:
Email Address:	Confirm Email Address:

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Request a new one here.

Events

<< February 2012 >>

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