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Open Team Registration Form
Team Name: _____________________________________________________________________
Team Captian: ____________________________ Contact Phone#__________________________
Name of runner
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Age
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DOB
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Gender
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T-Shirt size
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Total Pledge
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Parents signature if athlete under 16
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1
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2
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3
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4
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5
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6
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7
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8
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9
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10
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11
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12
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13
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14
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15
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Team Registration Fee: $100 per team (maximum of 15) till March 20th and $120 per team (maximum of 15) from March 21st to March 31st. NOT TEAM REGISTRATION AFTER MARCH 31ST.
One registration form per team of 15. However each runner must supply a separate completed pledge form with the team registration mailed with a cheque to:
Runners' Choice
207 Dundas St
LONDON, ON
N6A 1G4
or in person using Visa or Master Card.
Registration cheques are made out to Runners' Choice however all pledge cheques must be made out to London Abused Women's Centre.
Event shirts only guaranteed if registered within the first 400 participants.- NOW SOLD OUT!
Team Package Pickup
Only one adult team representative will be allowed to pickup all team runners race kits on Thursday April 1st at Runners' Choice between 11:00am and 6:00pm or on race morning at the team pickup table. Each athlete will be responsible to take their race numbers on race morning and pickup their race timing chip.
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London Honda Series 
