Darley Moor Sept Junior Duathlon

Please fill out the fields below and check all details are correct.

Your email address

plus any middle initial

Child's Last Name

If attached enter club name

Participant's gender

Participant's date of birth

Distance or course to sign up for

 Participant's address details




 Your telephone number should we need to contact you about your entry

 If not, you need to pay for a day license

 If applicable



 Does the participant have any conditions that the medical team should be aware of?

 I agree on behalf of my Child/Ward that we accept the T&C, that they are medically fit to participate, that they do so at their own risk and that the organisers shall not be liable for any accident, injury or loss as a consequence of their participation
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 My Child/Ward will abide by the British Triathlon rules

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