Registration triathlete - 1/4 Triathlon Bruges

Registration triathlete - Charity

Personal

All data like name, surname Email and address are required to contact the athlete with the necessary information. Be accurate when filling in these fields. All fields with a * (asterisk) are mandatory.

Naame *

First name *

Date of birth *

Gender *

Address *

Country *

Postal code *

City *

Phone number

Cellphone *

E-mail *

E-mail (verify) *

IBAN number

BIC code

Only registrations with a valid bankaccount will be paid any earned price-money.

Agegroup

T-shirt size *

Someone who wants to start in the (¼) QUARTER PRO-wave must have a decent time, men minimum 2:10u and minimum 2:20u for the ladies. Whoever has a higher time should start in an agegroup.

Cancellation insurance

Check this box if you want a cancellation insurance. For the conditions please look under 'Participate' and click on 'Annulation'. The cancellation insurance costs € 4 on top of the € 75 for a start ticket

Triatlon

Club *

License

Best triatlon time (HH:MM:SS)

Best swimming time (MM:SS)

Charity

Invoice

Company name

Company street

Company postal code

Company city

Company country

VAT number

VAT obligated

I declare to have read the terms and conditions of Triatlon Brugge vzw (read here) and I agree respecting the rules of the BTDF and ITU, concerning the use and privacy of my e-mailadress, concering the responsability of Triatlon Brugge vzw and the conditions of medically justified sport.