Name and address of team captain:.......................................................................................
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.................................................................................. Postcode...............................................
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| ..................................................................................Tel:.......................................................... |
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Insurance: It is a requirement that all participants carry Third Party insurance for not less than £5m. It is also strongly recommended that all participants have Personal Accident insurance
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I agree to abide by the rules
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| Signature.................................................................... |
Date:............................................ |
| (On behalf of the team) |