South Coast Triathlon
6th July 2013
Please fill in all sections applicable (captains name only for relay race team)
Print & post this form
First Name
Last Name
Address
Town
Tel Day
County
Tel Eve
Post code
Nationality
Email  
D.O.B
Sex
 Male Female
   
Age on 31 Dec 2013
Will 2013 be your first year competing at triathlon ?
Yes No
 
Will you be a BTF member on race day ?
Yes No
 
Team or club name (if any)
How did you get to know about this triathlon event ?
Competed previously
220 Magazine
Poster
UK Triathlon leaflet
Told by a friend
Internet
Other (Please specify
Please tick if you do not wish to receive information regarding our future events
RACE SELECTION (Tick the box of the race/s you wish to enter)
Fun Triathlon (200m Swim - 10k Bike - 2.5k Run)
£55.00
Super Sprint Triathlon (200m Swim - 10k Bike - 2.5k Run) £50.00 BTF Member
Super Sprint Triathlon (200m Swim - 10k Bike - 2.5k Run)
£55.00 Non BTF Member
Sprint Triathlon 750m Swim - 20k Bike - 5k Run) £50.00 BTF Member
Sprint Triathlon 750m Swim - 20k Bike - 5k Run) £55.00 Non BTF Member
Olympic Triathlon (1500m Swim - 40k Bike - 10k Run) £55.00 BTF Member
Olympic Triathlon (1500m Swim - 40k Bike - 10k Run)
£60.00 Non BTF Member
Relay Triathlon (1500m Swim - 40k Bike - 10k Run) (One competitor for each leg!)    £75.00    
BTF Members will be asked to produce their race licence at registration
Sorry no entries on race day. No need to send S.A.E.
EVENT SHIRT SELECTION (Tick the box of the race/s you wish to enter)
South Coast Triathlon 2013 Race T-shirt
S
M
L
XL
£9.95
 
 
 
 
Please consult your bank statement for confirmation of entry.
Final details will be sent to you roughly 7 days before the event.		 PAYMENT TOTAL ENCLOSED  £
Please make cheque/postal order payable to  
“UK Triathlon ” & post to:
Unit 20, Cockshades Farm, Stock Lane, Wybunbury, Cheshire, CW5 7HA
Would you like to compete for a charity Yes No
DISCLAIMER Min age 16 (Super Sprint/Fun/Sprint) 17 (Olympic/Relay) on the 6th July 2013.
Unsigned entry forms cannot be accepted & will be returned. I declare that I am of good health & fit to compete in a triathlon & do so at my own risk. I will abide by the rules of the organisers and agree to their terms & conditions. I will cycle with care & attention & abide by the normal rules of the road. I accept that the organisers & their friends & associates are not liable for any loss, damage, claim, injury (including fatal) or expense that may arise in consequence of my participation in any of the above events.
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