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.

ONLINE REGISTRATION FORM ( Fields marked with * are required )
Athletes :
Awards Banquet Ticket : * = BHT
Meet the Pros Social Function Ticket : * = BHT
Total Amount :  BHT
Entry Date :
Yellow Chip Code :
Are You Racing as a Pro ?
Category :
Prefix :
Given Name:
Family Name :
Nationality :
Gender :
Date Of Birth : -- (dd - mm - yyyy)
Age : (Age on 7 December 2008)
T-Shirt Size :
*Address 1 :
Address 2 :
Suburb :
State / Province :
*Postal Code :
*Country :
*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 ?
Details :
Are you allergic to any medications ?
Details
Do you wish the event medical staff to be aware of any specific medical problem ?
Details :
Remarks :
 
   
 

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