DUATHLON – TEAM ENTRY

Thank you for your team 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 which you must share with your team members.

RACE ENTRY FEES - US$ 5 per team member

USD Cash payments accepted on the day / Prepayments in ZWL by Bank transfer to CABS PLATINUM - Acc Name: TRIATHLON ZIMBABWE - Acc # 1003103898 - Contact TREASURER 0772 270330 for rate applicable. Proof of payment to be sent by email to tim@cropserve.co.zw. ECOCASH to 0788 804508 (recipient Kelly Bauer-Bennett)

NAME (required)

DISTANCE - please specify - DU-FUN / DU-SUPERSPRINT / DU-SPRINT (required)

Team Name (required)

Full Name of RUNNER 1 (required)

IS THIS TEAM MEMBER VACCINATED - answer YES / NO (required)

Full Name of BIKER (required)

IS THIS TEAM MEMBER VACCINATED - answer YES / NO (required)

Full Name of RUNNER 2 (required)

IS THIS TEAM MEMBER VACCINATED - answer YES / NO (required)

YOUR Contact email address (required)

YOUR Contact mobile number (required)

Race Entry Fee Method of Payment - CASH on the day / PREPAID transfer CABS / PREPAID ECOCASH - PLEASE SPECIFY (required)

INDEMNITY -

By completing this Online Registration Form, WE agree to abide by the protocols and procedures put in place by the organisers of the event. WE understand that WE will take part in this event at OUR own risk and will not hold Triathlon Zimbabwe, it’s sponsors, organisers, officials, coaches, employees or assistants, responsible for any accident, illness, injury, or loss of, or damage to property, which may occur as a result of OUR participation in this event. WE hereby indemnify against all claims arising out of said participation in this event

PLEASE STATE "I AGREE" IN BOX BELOW