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~Entry Form~
Instructions: Print this form, fill it in and mail with payment to:
Te Aroha Athletic Club, PO Box 145, Te Aroha
Please make cheques payable to: Te Aroha Athletic Club
Event
| I am entering (tick one): |
| ____ | Te Aroha Mountain Race |
| ____ | Bald Spur Mini Mountain Race |
Competitor Details
| Name: | _________________________________________________ |
| Address: | _________________________________________________ |
| | _________________________________________________ |
| Phone no: | _________________________________________________ |
| Male/Female | Please circle one |
| Signed: | ___________________ | | |
| Entry Fee: | Te Aroha Mtn Race: $20.00, Bald Spur Race: $5.00 |
| Cheque Enclosed: | ___________________ |
| Registration No: | ___________________ (Te Aroha Mountain Race only) |
I am a registered Waikato BOP athlete who is entering the Waikato/BOP Mountain Running Championships YES / NO
(if yes, you will also need to fill in a special form on race day when you pick up your race number) |
Entries close 11th December 2009
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