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Wetherby Triathlon 2021
About You
First Name:
Last Name:
Date Of Birth:
Gender:
Male
Female
Contact Details
Contact Telephone:
Email:
Address Line 1:
Address Line 2:
City:
Postcode:
Entry Details
Entry Type:
£49.00 - STANDARD DISTANCE BTF member
£55.00 - STANDARD DISTANCE Non-BTF member (includes day licence)
£75.00 - STANDARD DISTANCE Team relay
£39.00 - SPRINT DISTANCE BTF member
£45.00 - SPRINT DISTANCE Non-BTF member (includes day licence)
£65.00 - SPRINT DISTANCE Team relay
Team Name:
Emergency contact name:
Emergency contact number:
Additional Information:
Team Mate
First Name:
Last Name:
Date Of Birth:
Gender:
Male
Female
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First Name:
Last Name:
Date Of Birth:
Gender:
Male
Female
Contact Details
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Contact Telephone:
Email:
Address Line 1:
Address Line 2:
City:
Postcode:
Entry Details
Entry Type:
£49.00 - STANDARD DISTANCE BTF member
£55.00 - STANDARD DISTANCE Non-BTF member (includes day licence)
£75.00 - STANDARD DISTANCE Team relay
£39.00 - SPRINT DISTANCE BTF member
£45.00 - SPRINT DISTANCE Non-BTF member (includes day licence)
£65.00 - SPRINT DISTANCE Team relay
Team Name:
Emergency contact name:
Emergency contact number:
Additional Information:
Team Mate
First Name:
Last Name:
Date Of Birth:
Gender:
Male
Female
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