WARRINGTON TRI CLUB

NORTHWICH AQUATHLON - ENTRY FORM

SUNDAY 2ND MAY 2010

VENUE: Moss Farm Leisure Complex, Moss Lane, Winnington, Northwich CW8 4BG

Name:*
Address 1:*
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Address 3:
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Tel: (Day) *
Tel: (Evening) *
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Date of Birth: *

Use format DD/MM/YYYY

e.g. 06/02/1965 for 6th Feb 1965

Age on 31-12-10: *
Gender


BT Member?


British Triathlon Number (if applicable):
British Triathlon Club (if applicable):
Race Category:
Swim 50m (2 lengths)  
Swim 150m (6 lengths)
Swim 250m (10 lengths)
Swim 400m (16 lengths)
Swim 500m (20 lengths)
Swim 500m (20 lengths)
Estimated Swim Time
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 secs
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Retype Code  
 
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Starmark

Warrington Tri Club have earned Starmark Accreditation in 2008

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Committee

Katie Benson

Jonathan Britton

Jill Carlin

Dan Chesters

Brett Connolly

Tom Hampton

John Hobson

Ian Norton

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