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Laois/Dungarvan/Tralee Mini Marathon Signup Form

The Laois, Dungarvan and Tralee Mini Marathons take place in September and October 2010. Register online below and we will send out further details to you. Participants can choose to fundraise for The Carers Association or a charity of their choice. The Mini Marathons take place over a 10km route and are guaranteed a great day out for all.

Your financial details are not stored on our database and your contact details will not be shared with 3rd parties.

Fields Marked * are Mandatory

Mini Marathon*
Mini Marathon*	Wheelchair user Runner Jogger/Walker
	I'm running for The Carers Association! Please send me a sponsorship card! T-Shirt Size
	I confirm that I have a reasonable level of fitness and my participation is not against the advice of my GP. I am taking part at my own personal risk and release all rights and claims for damages I may incur against The Carers Association*
Title*
Firstname*
Surname*
Address1*
Address2*
Address3
Address4
County*
County*	Select "Outside Ireland" if necessary)
State / Region / Postcode / ZIP
State / Region / Postcode / ZIP	(Only if Outside Ireland)
Country*
Tel/Mobile (Home)
Tel/Mobile (Work)
e-Mail Address*
	Keep in touch now and again to let me know what The Carers Association is doing.

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