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Fun Run Registration form


Distance: 3.5 Km. For Schools and children (no entry fee)
Category:*Children male (6-17 years) female (6-17 years)

Distance: 5 or 10 Km. For All (100 Thai Baht entry fee)
Distance:* 5 Km 10 Km
Category:*Female (12-39) (40 & over)
Male (12-39) (40 & over)

Participant:
Name:*
Surname:*
Date of birth:*   Age=
Gender:* Male Female Nationality: *
Phone (Work): Phone (Home):
Phone (Mobile): Fax No.:
Email addr.**:
Home addr.:
Country: *
Emergency Contact:
Phone (Home): Phone (Mobile):


* Required
**Required to send confirmation

         



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