School
 
  First Name Surmame D.O.B. Year Race
    dd/mm/yy    
e.g. John Smith   8 JB
           
LSAA City Trial          
           
           
Entry Form          
         
         
Return to:          
Pat Schofield          
E-Mail :            
schofieldpat@hotmail.co.uk          
         
         
         
         
Entries by SATURDAY 16th          
 December 2017          
Only High Schools need          
to use this form for          
Years 7 to 13