Hosted by Ealing Triathletes

Gurnell Leisure Centre

Ruislip Road East

W13 0AL

Standard race - 400m swim in the 50m pool and 5km run
Novice race - 200m swim in the 50m pool and 2.4km run

Minumum age: 15years (age at 31/12/2019)

Athlete Information

Gender *
calendar
Are You a member of Ealing Swimming Club? *
Are you a member of a triathlon club *
Choose your entry *

I understand and agree that I participate in the Aquathlon entirely at my own risk. I have considered the nature of the event. I am satisfied that I am sufficiently responsible and competent to assume full and entire responsibility for my own safety under the supervision of the event team. Notes: You are giving consent to participate in the Aquathlon event and understand the demands and potential risks You can verify that you can swim the distance required to complete the event. Please ensure that you make a note of any medical conditions that you may have in the section below. If you have any concerns about participating in any form of physical activity, please consult your GP before consenting to take part in the Aquathlon event.

Due to the nature of organising a complex event like this most of the costs have been committed in advance. Therefore we are unable to offer a refund should you find that you are unable to attend on the day.

 *
Parental/guardian consent I, being the parent/guardian of the child identified on this form, give consent for my son/daughter/child in my care to take part in the Aquathlon. I understand and agree that my son/daughter/child in my care, participates in the Aquathlon entirely at his/her own risk. I have considered the nature of the event and have discussed them with my son/daughter/child in my care. I am satisfied that they are sufficiently responsible and competent to assume full and entire responsibility for their own safety under the supervision of the event team. Notes: You are giving consent for the child named above to participate in the Aquathlon event and understand the demands and potential risks You can verify that your son/daughter/child in our care can swim the distance required to complete the event. Please ensure that you make a note of any medical conditions that your son/daughter/child in my care has in the section below. If you have any concerns about your child participating in any form of physical activity, please consult your GP before giving permission for your child to take part in the Aquathlon event.
Due to the nature of organising a complex event like this most of the costs have been committed in advance. Therefore we are unable to offer a refund should you find that your child is unable to attend on the day. *
Please note there is a 3.4% + 20p admin fee charged by PayPal. *
Current Total:
£0.00