| SURNAME | FIRST NAME | ||
| ADDRESS | SEX | ||
| D.O.B | |||
| Tel. | |||
| CLUB | STA / BTA NO | ||
| EMAIL ADDRESS | |||
| (or send 2 x SAEs for race info & results) | |||
ENTRY FEES | |||
| STA/BTA MEMBERS | £7 | FEE ENCLOSED | |
| NON- MEMBERS | £8 | ||
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 _______________________________
Completed entry forms along with fees (payable to Lomond Tri Club) and two SAE's (or email address) should be returned by Tuesday 9th July to:
Malcolm Minto
32 Steele Cres.
Balloch
G83 8AW
( tel. 01389 758392 )