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The Loch Lomond Challenge
STANDARD TRIATHLON
Sunday 5th September 2004

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  TriathlonScotland / BTA NO  
ENTRY FEES
TriathlonScotland / BTA MEMBERS£22FEE ENCLOSED 
NON- MEMBERS £27
** LATE ENTRY SURCHARGE (27 Aug-1 Sept) £3 ** NO ENTRIES accepted after 1st September

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 by Lomond Tri Club, triathlonscotland and their insurers.

Signature _______________________________

Please send completed entry forms along with fees (payable to Lomond Tri Club) (with two SAE's if needed) by Friday 27th August (or Wed 1st Sep with £3 surcharge) to:

Lomond Tri Club 
36 Suffolk Street    
Helensburgh    
G84 9PB   (01436 671224)