11-12 DECEMBER 2021

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Elite Athlete Application

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Elite Athletes

First Name*
Last Name*
Gender*
DOB*
Date Format: MM slash DD slash YYYY
Email*
Enter Email Confirm Email
Phone Number*
State/Territory or Country of Residence*
Race distance*
- Marathon
- Half Marathon
- 10km
Marathon Personal Best*
Half Marathon Personal Best*
10KM Personal Best*
Significant Performances since 1st July 2019*
Additional Information

SPONSORS & SUPPORTERS

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