Enter Leeds Junior Run Series 2019/20

Email Address of Parent:
Name of PARENT:
Name of JUNIOR ENTRANT:
Postcode:
Leeds Resident?	Yes         No
Date of birth (dd/mm/yyyy):
Gender:	Male         Female
Club:	None UKA club outside Leeds   Abbey Runners Kippax Harriers Pudsey and Bramley AC Airecentre Pacers Kirkstall Harriers Pudsey Pacers Bramley Breezers Leeds & Bradford Tri Pudsey Runners Chapel Allerton Runners Leeds Carnegie AC Rothwell Harriers Crossgates H Leeds City AC Roundhay Runners Dragons Sports Leeds Frontrunners Skyrac AC Farsley Flyers Leeds University AC South Leeds Lakers Horsforth Fellandale Methley Striders St Theresas AC Horsforth Harriers North Leeds FR Valley Striders Hyde Park Harriers Otley A C Wetherby Runners
England Athletics reg no:		(if registered)(optional)
Other club not listed:
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