Universal Race Entry Form

(adapted from the BTA UEF)

Name of the event: ____________________________________________________________

Have you done this event before?: Yes/No

Date of the event:___________________________________ Entry fee: ________________

Surname: _______________________________ First names: __________________________

Address: ___________________________________________________________________

___________________________________________________ Postcode: _______________

Home phone: ____________________________ Work phone: _________________________

Sex: Male/Female -- Date of birth: ___________________ Age (as at 31 December): ________

T-shirt size preferred: Small/Medium/Large/X-large/XX-large
(Note: not all events provide a T-shirt)

Club: _______________________________________________ BTA number: ____________

Licence type: Elite/Standard

Please supply estimates of your times for the distances in the event:

Swim: ______________ Cycle: ________________ Run: _____________________
DISCLAIMER: I declare that I will abide by the rules of the British/Scottish/Welsh Triathlon Associations and accept that the BTA/STA/WTA and its agents, the event organisers and their associates are not liable for any loss, damage, claim or expense which may arise as a consequence of my participation in this event. I will cycle with care and attention and abide by the normal rules of the road. I am of good health and compete at my own risk.

I enclose a cheque payable to the person/organisation indicated plus 2 stamped, self-addressed envelopes.

Signed: _________________________________________ Date: ____________________
PARENTAL AGREEMENT: (to be signed by parent or guardian of competitors aged under 16) I am aware that my child must wear an approved cycle helmet while cycling. I will ensure that my child's bike is in roadworthy condition. I know of no physical or mental condition which may endanger my child while racing. I accept that the organisers, helpers, etc., will not be held responsible for any loss or injury sustained to my child during the event. I agree to my child competing.

Signed: _________________________________________ Date: ____________________
This form was obtained from John Schofield's Race Results Service site