| SURNAME | FIRST NAME | ||
| ADDRESS | SEX | ||
| D.O.B | |||
| Tel. | |||
| CLUB | STA / BTA NO | ||
| EMAIL ADDRESS | |||
| (for race info & results or send 2 x SAEs) | |||
| Swim stroke | Est. swim time (750m) | ||
ENTRY FEES | |||
| STA/BTA MEMBERS | £11 | FEE ENCLOSED | |
| NON- MEMBERS | £16 | * late entry surcharge £3 * (19th-22rd Aug) | |
| TEAMS (3 people) | £25 | ||
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 the STA, 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 _______________________________
Closing date for entries: Monday 19th Aug - £3 surcharge for late entries until Thursday 22nd NO ENTRIES WILL BE ACCEPTED AFTER THURSDAY 22nd
Completed entry forms with fees (cheques payable to Lomond Tri Club):
Su Floyd
36 Suffolk Street
Helensburgh
G84 9PB
( tel. 01436 671224 )
su -at- lomond-tri.org.uk