Triathlon England Eastern Region

Club Relay Team Entry Form

**** IMPORTANT *****

THIS FORM IS NOT TO ENTER AND PAY FOR A TEAM BUT TO CONFIRM ALL TEAM MEMBER DETAILS ONCE YOU HAVE ENTERED. ONLY COMPLETE THIS FORM ONCE YOU HAVE HAD YOUR ENTRY ACCEPTED.

YOU CAN ENTER AT http://www.entrycentral.com/index.php?raceID=100487

Club:

Team Name: Category:

	Member A (Red Hat, first off)	Member B (White Hat, second off) (Phone, Email, Address optional)	Member C (Blue Hat, third off) (Phone, Email, Address optional)
First Name:
Surname:
Date of Birth:
Sex:
BTF No:
T Shirt Size:
Tel:
Email:
Address 1:
Address 2:
Address 3:
Postcode: