Please fill out the following form to enter an event. All fields with an * are mandatory. You may choose to make a card payment online now, or alternatively you can send a cheque in the post.

Event *

First Name *

Surname *

Address Line 1 *

Address Line 2

Town *

Postcode *

Email Address *

Telephone Number

Date of Birth *

Age as of 31.12.2008 *

Age Band as of 31.12.2008 *

Gender *

BTA Club

BTA number

Estimated swim time *

Are you a novice? *

Any Medical Conditions?

Are you entering as an individual or as a relay team?*

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