PENHALONGA OWS 4X500M RELAY ENTRY

Thank you for your Entry - Please read and complete ALL sections of this form - after the Indemnity section state "I Agree" and then click SEND. You will receive a confirmation email with your Race Number and additional instructions for your race

RACE ENTRY FEES -

$ 5 per individual

Cash payments accepted at Registration-Check-In - ZWL payments by Bank transfer to CABS PLATINUM - Acc Name: TRIATHLON ZIMBABWE - Acc # 1003103898 - please confirm with Treasurer for rate applicable for RTGS and Ecocash payments. ECOCASH to 0788 804508 (recipient Kelly Bauer-Bennett)

COVID-19 Protocols and Precautionary Measures remain in place - Wear your Face Masks - Wash your Hands regularly - Sanitize your Hands - Observe Social Distancing

PENHALONGA OWS 4X500M RELAY ENTRY

TEAM NAME

Contact email address (required)

SWIMMER 1 NAME

Are you vaccinated ? YES / NO (required)

SWIMMER 2 NAME

Are you vaccinated ? YES / NO (required)

SWIMMER 3 NAME

Are you vaccinated ? YES / NO (required)

SWIMMER 4 NAME

Are you vaccinated ? YES / NO (required)