SECTION A - TO BE COMPLETED BY ALL ENTRANTS

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* 1. Name of entrant

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* 2. Email

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* 3. Mobile contact no.

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* 4. Address

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* 5. Date of birth

Date

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* 6. Age as at 31/12/2022

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* 7. Emergency contact information

SECTION B - TO BE COMPLETED IF ENTRANT IS AGED 11-16

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* 8. Name of parent/carer

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* 9. Email address

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* 10. Mobile Contact no.

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* 11. Please note if there are any activities that your child can not participate in?

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* 12. Is the entrant a member of British Triathlon Federation? 

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* 13. Entry Fee - £15.00

I confirm I have transferred the sum of £15.00 to the following account: 

Account Name: Manx Tri Club
Sort Code: 55-91-00
Account no: 85442453
Ref: Entrant Name

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