Wattisham Triathlon 2011

Entry Form for the SSAFA Wattisham Triathlon - 21st May 2011

Submitting this form implies that you have read and agree with the following statement:
I declare that I will read and comply with the race pack and that I and any spectators that I bring on to the Station will abide by the rules laid down both by the Race organisers and the BTA. I am fully aware that Wattisham Station will not be held responsible for any loss, damage or expense that may occur as a result of this event. I am fully fit and capable of completing this race.

Please complete all appropriate fields as accurately as possible.
NB. If entering a team, EVERY team member needs to submit a form.

There will be a photographer present at the event - if you have any objection to your image being used in promotional materials for next years' event, please advise us.

(Required fields are bold)

Email Address *
Title/Rank *
First Name *
Last Name *
Male/Female *
Date of birth *	DD / MM / YYYY ( dd / mm / yyyy )
Age on 31st August 2011 *
Address *
Telephone Number *
Club/Organisation
Medical Conditions (if none known, enter 'None') *
Next of Kin & Relationship *
Emergency Contact Details *
Novice? (Fewer than 2 events in 2 yrs) *	Yes No
Predicted 300m swim time *
T-Shirt size *
Relay team name (if applicable)
Relay team category (if applicable)	Male Female Mixed
Untitled	MM / DD / YYYY ( mm / dd / yyyy )
Preferred format	Preferred format HTML Text Mobile