Dublin Women's Mini Marathon Form

The Dublin Women's Mini Marathon took place on June Bank Holiday Weekend - Monday 7th June 2010.

Fields Marked * are Mandatory

Name*
Address1*
Address2*
Address3
Address4
County*
County*	Select "Outside Ireland" if necessary)
Tel/Mobile (Home)
Tel/Mobile (Work)
e-Mail Address*
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*
	Keep in touch now and again to let me know what The Carers Association is doing.

The Carers Association