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Stourbridge Swimming Club, Club Championships 2022. Duncan Edwards Leisure Centre.
All email addresses and telephone numbers must be for over 18's.
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Email
*
Your email
Swim England Membership Number (if known)
Your answer
Surname
*
Your answer
Forename
*
Your answer
Gender
*
Male
Female
Date of Birth
*
MM
/
DD
/
YYYY
Age on 21st November 2022
*
Your answer
Phone Number (Adult over 18)
*
Your answer
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