Black Country Triathletes - Junior training signup - May 2021
The training is at Wombourne Leisure Centre, park in the bottom car park towards the tennis courts.For the bike session you must bring a helmet, for both sessions bring a drink.Details of our club are on our website https://www.blackcountrytriathletes.com/index.html
Your Details
Your Name
*
First Name
Last Name
Mobile Phone
*
Please enter a valid phone number.
Email
*
example@example.com
Your Relationship to Children attending
*
When are you coming (you can come to both)
8th May Run Session
15th May Bike Session
Children
Child 1
*
First Name
Last Name
Age
*
Child 2
First Name
Last Name
Age
Child 3
First Name
Last Name
Age
Medical conditions
Have you or any of the competitors had any of the following conditions in the last 14 days
*
YES
NO
High temperature (above 37.8c)
Fever and tiredness
Persistent cough
Runny Nose
Sneezing
Shortness of breath
Loss or change in sense of smell
Loss or change in sense of taste.
I declare that competitors are medically fit to take part
*
Yes
No
I understand that my details(name, email address) will be kept securely for 21 days and will only be usedfor the purposes of the NHS test and trace initiative and will be securelydestroyed immediately following the 21 day period. Additionally my details may be passed to NHStrack and trace if they are requested by them for the purposes of contact trace
*
Yes
No
I understand that I enter at my child/ children at my own risk and that no person(s) or organisation(s) will be held responsible for any accident, injury or loss, prior to, during or after the training
*
Submit
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