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 telephone number: Work telephone number: 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 Triathlon Association and accept that the BTA 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 The Triathletes Homepage: http://www.triathletes-uk.org/ UEF(txt)2001