Fireco Kai Iwi Lakes Triathlon 2021 - Dispensation Form
Special dispensation to participants under the age of 16 may be granted in certain cases. Please note that if granted your entry will only be accepted with legal guardian or parent stating competence for the event entered and also adequate supervision on event day. Please allow up to 5 working days for your application to be processed.
Full Name (entrant) *
What age will the entrant be on the day of the event? *
What event will the entrant be competing in at the event? *
Which discipline will your child be undertaking *
Please list other similar events that your child has completed:
What experience does your child have swimming unassisted in open water in a large pack?
What experience does your child have cycling on the open road?
What experience does your child have running on the road?
Do you agree to explain the rules of the event and all safety information to your child? *
Full name of guardian completing this form: *
Email address (Guardian): *
Phone number (Guardian): *
As guardian will you be present at the event? *
If someone else will be responsible for your child on the day please give us their full name:
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