| FIRST NAME | SURNAME | ||
| ADDRESS | SEX | ||
| D.o.B. | |||
| PHONE | |||
| | |||
| (if you don't use email, please include 2 stamped addressed envelopes for race info & results) | |||
| CLUB | TriathlonScotland / BTA NO | ||
| SWIM STROKE | ESTIMATED SWIM TIME (200m) | ||
| ENTRY FEE | |||
| TriathlonScotland / BTA members | £3 | Am't ENCLOSED | |
| non-members | £5 | ||
| ** LATE ENTRY SURCHARGE £2 (17-19th August) ** NO ENTRIES accepted after 19th August | |||
I declare that: I/my child am/is medically fit to compete in endurance sports; I/[s]he participate[s] 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 by Lomond Tri Club, TriathlonScotland and their insurers.
Signature _______________________________ (parent or guardian's signature for competitors under 16)
Please send completed entry forms along with fees (payable to Lomond Tri Club) (with two SAE's if needed) by Monday 16th August (or Thurs 19th with £2 surcharge) to:
| Lomond Tri Club | ||
| 36 Suffolk Street | ||
| Helensburgh | ||
| G84 9PB | (tel. 01436 671224) |