Vrouwentriathlon

First Name:*

Surname:*

Address:*

Zip Code:*

City and country:*

E-mail address:*

Phone number:

Date of birth (dd-mm-yyyy):*
bijv: 23-03-1975

Profession:

Are you member of:*
NTBKNWUneither

License number NTB (Dutch Triathlon Union) or KNWU (Dutch Cycling Union):

In order to make sure the race goes smoothly and that athletes of the same level are grouped together we need to collect the following information:
Is this your first triathlon?*
yesno

What swim stroke will you use?*
free stylebreast stroke

What is your fastest time on a 5 km run?*

What kind of bicycle will you use?*
hybridmountain bikeroad bikecity bike

Wearing a bicycle helmet is mandatory. If you do not own a helmet you can borrow it from us. Do you have a helmet?*
yesno

Payment and confirmation
The entry fee of the Ladies Triathlon is 20 euro. Your registration will be finalized once the amount is in our bank account. You will receive a confirmation by e-mail.
The 20 euro has to be paid to Stichting vrouwentriathlon account number 1545.88.393 of the Rabobank in Leerdam.

IBAN NL42 RABO 0154 5883 93
BIC RABONL2U

Please mention your name and city when making the payment.

Note: sometimes the name of the account holder is not your name or have you signed up under your maiden name. Therefore always indicate the correct name you wish to be registered with when you make your payment.

Do you accept the conditions of participation?
It is important to read the conditions. You must accept the waiver to have your registration completed.

Yes, I agree to the waiver below.*

* Questions with an *asterisk are required to complete.

Participant Waiver for the Ladies’ Triathlon
• Participation in the Betuwe Ladies’ Triathlon on Sunday August 15th, 2010 is at your own risk. The organization cannot be held responsible for anything.
• The participant requirement is a minimum of a swimming certificate A and a well conditioned bike. In the absence of a proper bike or a swimming certificate the organization can deny participation in the event.
• Minimum age for participation is 16 years. All participants must be female.
• The participant must take care of her own valuables. The organization of the Betuwe Ladies’ Triathlon is not responsible for stolen or lost property.
• Participant agrees that the results may be published on the internet.
• Participant agrees to wear the Betuwe Ladies’ Triathlon race number during the event. This number must be visible on the chest. If the Betuwe Ladies Triathlon race number is not worn correctly, the organization may take the participant out of the race.
• Participant agrees to be present at the venue at least 2 hours before start time of the event. And will report to the registration desk. Furthermore, the participant has to be in the allocated start area at least 10 minutes before the start of her wave.
• Registration is NOT transferable. Resale or transfer of start permit is in not allowed.
• Participant agrees to the possible use of her image in print, photo, film, video etc for promotional purposes of Betuwe Ladies’ Triathlon and other events organized by this organistion without any compensation.
• Participant agrees to allow (limited) use of her (e-mail) address for promotional purposes by one or more sponsors of the Betuwe Ladies’ Triathlon. Participant is asked to send an e-mail to info@vrouwentriathlon.nl when she does not agree to this.
• The organization of the Betuwe Ladies’ Triathlon cannot be held responsible or sued if bad weather circumstances prevent the event from taking place. In no case claims for refund of entry fees or other costs will be accepted by the organization of the Betuwe Ladies’ Triathlon.
• Entry fee for participants have to be paid by July 15th, 2010. After this date registration is closed and participation is not possible.
• Upon cancellation, no refund of registration fee is possible.
• By subscribing to Betuwe Ladies’ Tri, the participant automatically agrees to these terms. All the above information is subject to change.