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The Loch Lomond Highland Games TRIATHLON
Saturday 19th July 2003

ENTRY FORM

SURNAME FIRST NAME 
ADDRESS SEX 
  D.o.B. 
 PHONE 
EMAIL 
(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£10FEE ENCLOSED 
NON- MEMBERS £12

IMPORTANT

Please Read And Sign The Following Disclaimer.

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 _______________________________ (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 14th July to:

Malcolm Minto   malcolm *at* lomond-tri.org.uk
32 Steele Cres.    
Balloch    
G83 8AW   ( tel. 01389 758392 )