NPS Lions Half Marathon Entry Form

Name:
Postal Address:
Email Address:
Do you require a sponsor pack?	YesNo
Team name:
Names of other team members (One name per line):
Are you a..	walkerjogger runner
What is your age group..	under 4040 to 59 60 and over
Please give the name of the charity you are supporting:
If you are not supporting a charity would you consider raising money for Leo House?	YesNo

Thank you for filling in this form. Please click "Enter Application" button below to send us your details.
You will then be forwarded onto Pay Pal where you can pay your application fee.
Once payment is received you will be emailed back to confirm your entry.

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