Team Entry
First Name  
Last Name  
Address1
Address 2
Address 3
Town
County
Postcode
Phone No
Mobile Phone
Email  
Team Name
Confirm Age
(please tick to confirm all team members are over 15 (12 for swimmers)as at 31/12/12
Predicted Swim Time (minutes)  
Predicted Swim Time (sec)  
Predicted Bike  
Predicted Run  
Do you have any medical conditions?
Please give us some interesting, funny (or preferably scandalous!!) information which the commentator or marshals can use.
Eg: Is this your 1st or 100th triathlon..are you raising money for a charity..are you taking part with a friend/your Grandad/Mum/cousin/etc..are you recovering from an illness....etc. The more entertaining and/or interesting the better!
- Required field