Freebird Events
Fun, Excitement, Adventure
Online Entry Form

First Name *
Surname *
Address *
Town *
Postcode *
Phone *
E-mail *
Gender *
Date of Birth *
British Triathlon Licence No (if any) *
Club / Team / Corporate Name (if any) *
Estimated Swim Time (400 metres) *
mins secs
   
T Shirt Size *
How many triathlons have you competed in ? *
Would you like to receive information about Udo's Choice ? *
   
Do you have any Medical Issues ? *
Medical Issues (if yes give details) *
Emergency Contact Name on race day *
Emergency Contact Phone on race day *
   
Beverley Triathlon Entry Fee *




Which method of payment do you intend using *


(please note paypal payments are subject to a £1.25 surcharge)


   
Are you a member of a fitness gym? *
If yes, what is the name of the gym *
       

*
Declaration (view at bottom of page) *
 


If you wish to enter any other Freebird Event please check the relevant boxes below
otherwise click the submit button to continue to the payment process


Skipton Triathlon
Skipton Triathlon
15th April 2012 *
Swim 400m - Bike 20Km - Run 5Km *
 
Skipton Triathlon
Udo's Choice Driffield Triathlon
20th May 2012 *
Swim 400m - Bike 18Km - Run 5Km *
 
Allerthorpe Sprint Triathlon*
Udo's Choice Allerthorpe Sprint Tri
17th June 2012 *
Swim 750m - Bike 20Km - Run 5Km


   
Est Swim Time (750m)
 
Allerthorpe Classic Triathlon
Udo's Choice Allerthorpe Classic Tri
19th August 2012
Swim 1500m - Bike 40Km - Run 10Km


   
Est Swim Time (1500m)
 
Mud Warrior
Mud Warrior (Adventure Challenge)
14th October 2012
Marbury Park, Cheshire