Untitled Document

North Berwick Short Triathlon North Berwick Sports Centre Sunday, 9th June 2002

Team Name ...................................................................
Swimmer First Name : ................................................................................... Surname ......................................................................................... Address ........................................................................................... Town : ............................................................................................. Postcode : ....................................................................................... Tel No (Day) :................................. (Eve) : ................................. DOB : ................................... Age on Day : .................... Male / Female Club (if any) : .................................................................................. Swim Time : ......................................................... Cyclist First Name : ................................................................................... Surname ......................................................................................... Address ........................................................................................... Town : ............................................................................................. Postcode : ....................................................................................... Tel No (Day) :................................. (Eve) : ................................. DOB : ................................... Age on Day : .................... Male / Female Club (if any) : .................................................................................. Runner First Name : ................................................................................... Surname ......................................................................................... Address ........................................................................................... Town : ............................................................................................. Postcode : ....................................................................................... Tel No (Day) :................................. (Eve) : ................................. DOB : ................................... Age on Day : .................... Male / Female Club (if any) : .................................................................................. Signed 1......................................................................................... Signed 1........................................................................................ (parent if child under 18) Signed 2 ........................................................................................ Signed 2........................................................................................ (parent if child under 18) Signed 3 ....................................................................................... Signed 3........................................................................................ (parent if child under 18)	Conditions of Entry I accept that this event is conducted under international rules and conditions and I agree to acquaint myself with and abide by those rules and any organisers instructions. I am aware that my cycle must be in a roadworthy condition and I am prepared to submit my cycle for official scrutiny immediately prior to the event. I understand that it is the competitors responsibility to navigate the course in the correct manner and that it is my sole responsibility to safeguard such clothing and equipment as I may use. I know of no physical or medical impediment that would render my participation in this event undesirable. A cycle helmet of an approved type, i.e. BSI, ANSI or equivalent standard, must be worn at all times during the cycling section of the event. NO HELMET – NO RACE Declaration of disclaimer Please do not sign the declaration of disclaimer opposite without first carefully reading and considering its terms: I acknowledge that a Triathlon is an extreme test of a persons physical and mental limits and has with it the potential of death or serious injury or property loss. The risks of participation include, but are not restricted, to weather conditions, road traffic, behaviour of other participants, volunteer helpers, officials and spectators in and off the event, dehydration, hypothermia and the behaviour of animals. I hereby, conscious of these, assume the risks of participating in this Triathlon event and, on my own behalf and on behalf of my executors, administrators, heirs, next of kin and representatives whomsoever: agree to WAIVE and claim to RELEASE and DISCHARGE from any claim which I or they may have in respect of death , disability, injury, property loss or damage as a result of or while I am participating in this event, the event organisers, directors, sponsors, officials, administrator or volunteer helpers. agree to INDEMNIFY the persons mentioned immediately above for any or all liabilities or claims made against them as a result of my behaviour in this event. Said WAIVER, RELEASE, DISCHARGE and INDEMNITY to extent to liability for negligence under common statute law. I certify that I will be at least 16 years of age on 31st December 2002. I agree to my personal details being held on computer.