Taking part in a Triathlon?

Please fill in this form so that we can support your fundraising.

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Type of event	Select Triathlon Other
Brief description of event More info	Characters left
Event date	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 1 2 3 4 5 6 7 8 9 10 11 12 / 2010 2011 2012 2013
Event venue
Would you like a fundraising pack? More info	Yes, I would like 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 packs.
T-shirt(s) required? (A donation towards the cost of producing these t-shirts is not essential but would be appreciated. Suggested amount: £5)	0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20  Small 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20  Medium 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20  Large 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20  X Large
How much do you think you will be able to raise?	£
If there are any costs associated with your event, how do you plan to cover them?	Characters left
Where did you hear about WaterAid?	Select Work School Church Other community contact Sports club Transition Magazine Advert Triathletes World Magazine Advert London Triathlon Official Website WaterAid Website Oasis On Tap Poster Word of Mouth Water bill Other If other, please state:

	I have read the legal and safety advice on the website and have adequate insurance for this event.
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