Blandford Stour Rotary Santa Fun Run and Walk 
    December 2018

    Registration Form 

    Please right click to print this registration form and when completed send it to: 

    Rotary Santa Run, Little Monnington, The Cliff, Bryanston, DT11 0PP 

                                                      or by email to: blandfordsantafunrun@outlook.com                                              

      First name                  
    Surname
                                               
    Adult or youth 
    £5 
    Under 8s  
    £2.50
    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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         Total  £ ________
     

    Address ......................................                                                            E-mail: ......................................................... 

                  ......................................                                                             Telephone no:.............................................

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                 Post code........................

    Payment method    O Online payment (ensure e-mail address completed above)    O By cheque       O Cash on the day  (See the More Information page for how to pay) 

    Please make cheques payable to Blandford Stour Rotary Club

    I would like to collect suits on 2 or 3 December (see Information Page for times)..............................................
     Declaration:
    In completing this form I/We declare that I/We are medically fit to take part in this event and understand that I/We enter at our own risk and that no person or organisations will be held responsible for any accident, injury or loss of possessions prior to, during and after the event.


    Signed:                                                                       Date:

    UNDER THE TERMS OF  GDPR WE ARE REQUIRED TO INFORM YOU THAT INFORMATION PROVIDED IS FOR SANTA RUN ADMINISTRATION ONLY AND WILL NOT BE USED FOR ANY OTHER PURPOSE

    Registered Charity No: 1079916