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