2005 Newmarket Duathlon Entry Form
Full Name
Age
Sex
DOB
Club
BTA -
Age Cat
No
Address
Postcode
Telephone
Email
In signing this declaration I agree to: (B.T.A. sanctioning applied for)
Abide by the rules of the British Triathlon Association www.britishtriathlon.org
Obey the highway code
Recognise that taking part in this event is by its nature hazardous and contains potential risks that could be associated with serious injury and therefore participate at my own risk
Attach no responsibility to the race organisers or any person attached to the event for any injury, accidents, loss or damage that may arise in consequence of participation in this event
A declaration of fitness to compete in this event
Signed
Date
Please make cheques payable to Newmarket Cycling & Triathlon Club and enclose two SAE
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