PENHALONGA TEAM ENTRY DEC 2021

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 for team entries

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 TEAM ENTRY

TEAM NAME

Contact email address (required)

EVENT ENTERING - Please specify - STANDARD / SPRINT / SUPERSPRINT / TRIFIT / TRIFUN

SWIMMER - NAME - Please indicate RED CAP if you do not have a swimmer and we will provide one for you

DATE OF BIRTH

Are you vaccinated ? YES / NO (required)

CYCLIST - NAME

DATE OF BIRTH

Are you vaccinated ? YES / NO (required)

RUNNER - NAME (required)

DATE OF BIRTH (required)

Are you vaccinated ? YES / NO (required)