Wagga Tri Club - Women's Only Triathlon - Open

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Team name   First name   Last name   Email address   Age on event date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 Gender -- Male Female   Are you a member of Tri Australia ? Other     Tri Australia membership # if applicable Other     Phone #   Emergency contact name   Emergency phone #   Post code

Please review the waiver provided by the event organizer and click the check box below to accept it. Print waiver Declaration: I declare that I am medically fit, will abide by the event rules, and will in no way hold the organisers or sponsors responsible for any injury, illness or accident to my person or loss of property resulting from my participation in this event. I acknowledge that the Wagga Triathlon Club plan to capture and use photographs from this event in printed and electronic media. An example is the club's Facebook page. I authorise the use of these photos of me and for those of whom I am a guardian. I accept the terms of the Wagga Tri Club - Women's Only Triathlon Name of Parent/Guardian for under 18 years Please enter your initials here.