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Kona to Christmas Entry Form
Please complete this form and make payment to join in with the challenge!
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* Indicates required question
Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
Your answer
Full Team Name
Your answer
If you do not have a team - I would like to join a Smiling Tri Coach team
Please add me to a Smiling Tri Coach team
Clear selection
Please confirm that you self certify to say that you are fit to take part in this virtual challenge. Leave your initials
*
Your answer
If you are under 18 please confirm, that as parent or guardian, you give permission for your minor to take part in this challenge and that they are fit to take part - full name
Your answer
I agree to be honest about the results I post and respect the spirit of the challenge
I agree
Clear selection
I confirm that I have made a payment of £10 via bank transfer - 09-01-29 24913038 (Mrs Katie Jane Offord Mrs Melanie Hayes)
I confirm
I understand that most communications will take place via social media and I have joined the challenge closed Facebook group
https://www.facebook.com/groups/2937438822976147/?ref=share
I confirm
Email address (this will only be used for Challenge purposes)
Your answer
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