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ClubSport Challenge Registration Form

Registration Form Name
Date of Birth
Sex
Address
Postcode
Club

Category (please tick one) Open 18-39 years
Masters 39-49 years
Veterans 49+

I have completed the time trial under supervision for Bronze level
Silver level
Gold level

Times Cycle
Sit-ups
Row
Shoulder Press
Run
TOTAL TIME

Instructor Details Name of Instructor
Qualifications
Phone Number

Medical recommendations and waiver

If you feel unwell, or have recently been suffering from a virus, we recommend that you do not race. The ClubSport Challenge competition requires maximal effort and the Ultra-FIT Magazine ClubSport Challenge organisers take no responsibility for illness or injury caused as a consequence. If you have any doubts, you should seek medical advice prior to racing. Signing of this waiver is a condition of entry to the competiion.