Registration Form

Team Name:

Athlete Information
Swimmer
Biker
Runner
 Name:
 Surname :
 Gender:
  Male Female
Male Female
Male Female
 Year of birth:
 Country:
 E-mail:
 Phone:
 T-shirt :
  We have read the waver and I agree
 

Race Information
 Race distance:
250m/5Km/2.5Km 500m/10Km/5Km 750m/15Km/7.5Km 1000m/20Km/10Km
50€
 Notes:
 1.Timing chip rent is icluded in the above price. The chip will be collected back at the finish.

Total Payable
Total:
€

Payment

Payment can be made by bank transfer or online using a credit card with our secure online credit card payment processor (IMSP). Details will follow on the next page

Privacy Note:: We will not sell or voluntarily transfer this information to third parties.