Ballina Athletic Club.

I wish to enter the U12/U18, Senior & Junior Connacht Cross Country Championships on 4^th November in Ballina at 1.00pm

Please complete the undermentioned and return in a sealed envelope by 24^th October at the latest.

I enclose herewith entry fee of €3.00.

Return to Secretary (Marion Mattimoe) by 24^th October

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Name                                                  Age Group                      Date of Birth