| 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 |
| |