Confidentiality: Details on this form will be held securely and will only be shared with persons who need this information in order to meet the specific needs of your child.

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* 1. First name of child/young person:

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* 2. Surname of child/young person:

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* 3. Address

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* 4. Date of birth

Date

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* 5. Age as at 31/12/2023

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* 6. Gender

Emergency contact information

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* 7. Name and contact of Parent/Carer

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* 8. Relationship to child/young person

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* 9. Emergency contact details (if different from above)

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* 10. Please advise if there any disciplines of the triathlon event (swim, bike or run) that your child cannot participate in, or anything else, as event organisers, we should be aware of through their participation?

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* 11. Please tick this box if you (or any other family members of friends) are able to assist the day (further details will be provided)

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* 12. Consent information:

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* 13. Photo Consent

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* 14. Upon reading the above photo and video consent guidelines

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* 15. T-shirt size (event t-shirts are £5 extra with the entry fee). 

Please select size required.

 Deadline for t-shirt orders is 31st March 2023

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* 16. Entry Fee - £15.00 or £20.00 with t-shirt

Account Name:        Manx Tri Club

Sort Code:                55-91-00

Account No:             85442453

Ref:                            (Your child’s name(s) e.g. Joe Bloggs)                                                                                  

Deadline for entries is 14th April 2023

NOTE TO PARENTS/GUARDIANS:

DISTANCES ARE BASED ON AGE OF CHILD AS AT 31 DECEMBER IN THE YEAR OF EVENT AS FOLLOWS:

Age 8 yrs as at 31 December

Swim 50m (2 lengths of the NSC pool)
Cycle 1k (1 lap of NSC raceway)
Run 400m (1 lap of NSC athletics track)

Ages 9 yrs & 10 yrs as at 31 December

Swim 150 m (6 lengths of the NSC pool)

Cycle 4k (4 laps of NSC raceway)

Run 800m (2 laps of NSC athletics track)

Ages 11yrs & 12yrs as at 31 December

Swim 200m (8 lengths of the NSC pool)

Cycle 6k (6 laps of NSC raceway)

Run 1600m (4 lap of NSC athletics track)

Ages 13yrs & 14yrs as at 31 December

Swim 300m (12 lengths of the NSC pool)

Cycle 7k (7 laps of NSC raceway)

Run 2k (5 laps of NSC athletics track)

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