Dambuster Triathlon Saturday 21ST JUNE 2014
CREDIT NOTE ENTRY ONLY
PLEASE ATTACH THE VALID CREDIT NOTE FROM 2013 AND ADJUST THE PAYMENT MADE ACCORDINGLY ENTRIES RECEIVED WITHOUT A VALID CREDIT NOTE FROM 2013 WILL NOT BE PROCESSED
1.5km Swim - 42km Bike – 10km Run If you are not a British Triathlon Federation (BTF) member, you are required to purchase a day membership to take part in a BTF sanctioned event. A day membership provides you with civil liability and personal accident insurance cover during the event. The cost of day membership for this event is £5.00. If You Are Not A Member Of The BTF Please Tick The Following Box I am not a member of the BTF and require a Day Membership. I agree to my name and address being passed to the BTF for the sole purpose of registering my Day Membership and providing insurance cover. I agree to abide by the conditions of membership and rules of the BTF, details of which are published on www.britishtriathlon.org First Name
Surname
Date of Birth: DD/MM/YY
Gender
BTF Number
Club
T Shirt Size Address
S
M
L
XL
Is this your first Triathlon
M
F
Yes
No
Post Code E-Mail
Contact Telephone
I wish to enter Dambuster Triathlon
(BTA Members) £65
Non BTA £70
3 Athlete Relay (BTA Members*) £ 75
*if you are entering a Relay Team, all non BTF members in the team must purchase a BTF Day license at registration (Cost £5 per license). Please outline any medical conditions you have
Emergency Contact Name
Emergency Contact Telephone
Tick box if you do not wish to receive details on future events & promotions relating to triathlon. I declare that I will abide by the rules of the British Triathlon Federation and accept that Pace Setter Events and their friends and associates are not liable for any loss, damage claim or expense which may arise in consequence of my participation in the event no matter how caused. All athletes must obey the highway code. I have read and agree to abide by the terms and conditions of entry as outlined on the Pacesetter Events website
Signed :
Date:
Please Note: ALL Licenses Will Be Checked On Race Day. Failure to produce a valid BTF licence on the day will result in competitors being required to purchase a day licence. Please make cheques payable to: Pace Setter Events Promotions Ltd Race information and Race results will be posted on www.pacesetterevents.com Send completed entry forms and cheque to: Vitruvian Triathlon, Pace Setter Events, 70 Guildford Avenue, Feltham, Middlesex, TW13 4EW Further information contact:
[email protected] Withdrawal & Closing Date For Applications MAY 21ST 2014 ENTRIES ARE LIMITED TO 1000 Please add £10 for entries after this date. We will not accept entries on the day.
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Value.
EVENTS CALENDAR 2014 DAY
DATE
EVENT
LOCATION
DISTANCES
SATURDAY
8-Mar-2014
DAMBUSTER DUATHLON
RUTLAND WATER, LEICS
10km run 42km bike 5km run
SATURDAY
21-Jun-2014
DAMBUSTER TRIATHLON
RUTLAND WATER, LEICS
1.5km swim 42km bike 10km run
SATURDAY
30-AUG-2014
THE VITRUVIAN
RUTLAND WATER, LEICS
1.9km swim 85km bike 21km run