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Registration Form

Please print, read, complete, sign and post to:

Mike Hnartiw,15 Kingfisher Close, St.Mellons, Cardiff, CF3 0DD
Name ..
Address




..
Email ..
Tel Home .
Tel Work .
Mobile .
Sex .
Date of Birth .
Weight .
Height .
Eligibility to row for Wales .
Club .
Personal Best 2000m at any time .
Personal Best 2000m in 2001 .
Rowing CV








.
I have read and agree to abide by the requirements set out in the WARA selection procedures including eligibility and selection events. I understand that I may be required by WARA to row as Rhwyfo Cymru or Rebecca and that I will hold a valid WARA license for 2002.

Name............................................... Signature.......................................... Date......................
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