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File: C&C Entry Form - March 19/20th 2022

Description: Entry Form

Download:

Athlete Name: ______________________________________

Gender – Male/Female (delete one)

Date of competition entered:    March 19th/20th

Events entered: _____________________________________________________________

Age group: _____________________________              Date of Birth ____________________

E-mail address for confirmation of entry (print please) ________________________________

Name of any accompanying parent if under 18 …………………………………………………………………………….…..

Is the athlete a C&C member/on induction/on waiting list (delete as appropriate) or another club (state club)?

  • I will not attend if I have any reason to suspect I may be infected with COVID-19

Signed: (by parent/guardian for Under 18s)

 

Dated: