Cardiff Canicross Canter Entry Form

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5km/2km Canicross Trail Run | 23/04/2019 | Race Briefing: 9am | Race Start: 10am

Please submit payment before entering - Payment links can be found at www.southwalescanicross.com/events/glamorgan-gallop

Please note: if accessing through a facebook link, payment via PayPal may not work, it is best to access by copying the link into your browser. Any problems please contact southwalescanicross@gmail.com

Email *

Name *

Date of Birth *

YYYY

Address *

Telephone Number *

Race Category *

Female (15+)

Male (15+)

Juniors (11-14) 2km

Cubs (7-10) Must be accompanied by an adult on the course) 2km

Beginners 2km

Dog Name *

Dog Age (all dogs must be over 12 months to compete) *

Dog Breed *

Emergency Contact Name *

Emergency Contact Number *

I have paid via Paypal *

Yes

A copy of your responses will be emailed to the address you provided.

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