Individual Registration

Please enter information in the form below to process registration for event Monikie Winter Duathlon Race 3 Entry 2025.

First Name *

Last Name *

Address *

City *

Postcode *

Email *

Age *

Club *

Category *

TS Category *

Date Of Birth *

Your Mobile *

Emergency Mobile *

IndividualRaceTicket *

Individual Race TS Member £30.00

Individual Race NON TS Member £33.00

Relay Race TS Member £33.00

Relay Race NON TS Member £35.00

Have you previously taken part in the Winter Series *

Yes I have taken part before

No this is the first time

Your TS Membership Number *

2nd Team Entrant Name *

2nd Team Entrant Email *

2nd TS Membership Number *

Coupon

Amount

Discount Amount

Gross amount

Payment Method *

Paypal Offline Payment

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*