| SURNAME | FIRST NAME | ||
| ADDRESS | SEX | ||
| D.o.B. | |||
| PHONE | |||
| | |||
| (if you DON'T use email, please include 2 stamped addressed envelopes for race info & results) | |||
| CLUB | STA / BTA NO | ||
| ENTRY FEES | |||
| STA/BTA MEMBERS | £20 | FEE ENCLOSED | |
| NON- MEMBERS | £25 | ||
| ** LATE ENTRY SURCHARGE (29 Aug-3 Sept) £3 ** NO ENTRIES accepted after 3rd September | |||
I declare that: I am medically fit to compete in endurance sports; I participate in this event entirely at my own risk; I assume that no liability whatsoever will be placed upon triathlonscotland, Lomond Tri Club or any marshal/volunteer assisting with the event for any injuries sustained, or for any loss or damage to personal property or equipment, during the event or from any designated changing or transition areas. I have read, understand and agree with the disclaimer. I accept that relevant personal details will be held as a computer record.
Signature _______________________________
Please send completed entry forms along with fees (payable to Lomond Tri Club) (with two SAE's if needed) by Friday 29th August (or Wed 3rd Sep with £3 surcharge) to:
| Malcolm Minto | ||
| 32 Steele Cres. | ||
| Balloch | ||
| G83 8AW | ( tel. 01389 758392 ) |