Laguna Phuket Triathlon
Individual Triathlon WAITLIST Registration

Laguna Phuket Triathlon 2008 Online Registration for Individual Athletes Closed

The entry limit for the Laguna Phuket Triathlon 2008 has now been reached. A wait list has been opened for which interested athletes can register by submitting information through the following form. As soon as a slot becomes available the person at the top of the wait list will be notified and given instructions on how to pay for the entry. The waitlist will be closed on 1 August 2008. Please note that only successful applicants on the waitlist will be notified.

Individual Triathlon
Registration
01 May 08 - 30 June 08
Thai Athletes
THB 2,000.-
Non-Thai Athletes
THB 5,500.-
Awards Banquet Ticket
1 Entry 2 Tickets maximum
01 April 08 - 31 October 08
Adult
THB 1,200.- per person
Ticket to
"Meet the Pros Social Function"
01 April 08 - 31 October 08
Adult
THB 600.- per person

ONLINE REGISTRATION FORM ( Fields marked with * are required )
*Athletes :
Awards Banquet Ticket :
* = THB
Meet the Pros Social Function Ticket : * = THB
Total Amount :  THB
Entry Date :
Yellow Chip Code :
Please fill in your yellow chip code if you have one. If not, put dash ("-") in this field. We will provide you with a chip for the race.
*Are You Racing as a Pro ?
Yes No
*Category :
Men Pro
Male 18-24 years of age
Male 25-29 years of age
Male 30-34 years of age
Male 35-39 years of age
Male 40-44 years of age
Male 45-49 years of age
Male 50-54 years of age
Male 55-59 years of age
Male 60-64 years of age
Male 65 years and Above
Women Pro
Female 18-24 years of age
Female 25-29 years of age
Female 30-34 years of age
Female 35-39 years of age
Female 40-44 years of age
Female 45-49 years of age
Female 50 years and Above
* Prefix :
* Given Name:
* Family Name:
* Nationality:
*Gender:
*Date Of Birth : - - (dd - mm - yyyy)
*Age : (Age on 7 December 2008)
*T-Shirt Size :
"Please provide full and accurate address details
as the organizers might need this for mailing your certificate"
*Address 1 :
Address 2 :
Suburb :
State / Province :
*Postal Code :
*Country of Residence :
*E-mail (First priority) :
*Confirm E-mail (First priority) :
Second E-mail :
*Business Phone :
*Direct Line :
Private Phone :
*Mobile :
Facsimile :
*Occupation :
*Emergency Contact Person 1 :
*Emergency Contact Telephone 1 :
Emergency Contact Person 2 :
Emergency Contact Telephone 2 :
Overseas Airline :
Hotel in Phuket :
Domestic Airline :
Significant Athletic Accomplishment or Interesting Personal Story :
Do you have any current medical problems or conditions for which a doctor is treating you ? Yes
No
Details :
Are you allergic to any medications ? Yes
No
Details
Do you wish the event medical staff to be aware of any specific medical problem ? Yes
No
Details :
Remarks :
I certify that I am medically fit to complete and fully understand that I enter at my own risk, and the organizers will in no way be held responsible for any injury, illness of loss, during or as a result of the event.
 
 
(Before you register for the race, please read Race Rules)
   
 

(*Registration for events, online registration forms can function properly only on Internet Explorer and Safari*)

© 2008 GO ADVENTURE ASIA : 109 FL.5, CCT BUILDING, SURAWONG ROAD, BANGRAK, BANGKOK 10500 THAILAND  Tel. +66 2 236 2931 up to 2  Fax. +66 2 237 2321