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Home Venue	:
First Name	:
Last Name	:
Password	:
Cell	:
Chip Code	:		*Note: Do not use any spaces or - when entering your ChipCode
Email	:
Post Code	:
ID Number	:
Emergency Contact Name	:
Emergency Contact Number	:
Select your running club	:
Which GPS watch do you use?	:
Which Running Shoe do you love?	:
Would you like a free subscription to the Modern Athlete Digi-Mag?	:
Medical Aid Scheme?	:
Medical Aid Number?	:
Do you authorise sharing of results info with our loyalty partners listed on the website?	Yes	No
Would you like to be kept informed about special offers and promotions from TimeChamp sponsors?	Yes	No