Which race are you entering? *
13-18 Years18+ Years

1. Team Name: *

2. Team Captain's Full Name: *

3. Captain's Email Address: *

4. Captain's Phone Number: *

5. Number of Team Members: (Min 2, Max 4) *
234

6. Names of Team Members: *
Please include full names of all members (including the captain).

7. Emergency Contact (Name & Phone Number): *

8. Does your team have your own life jackets? *
YesNo - we need to borrow some

9. I confirm that all team members are over 18 and can swim. *

10. Race Rules:

Please read the rules below carefully before proceeding.

[https://winsford.gov.uk/wp-content/uploads/2025/05/Rules.docx]

11. I have read and agree to the race rules. *

12. How did you hear about us?
Social mediaFriend or familyLocal poster or flyerCommunity group or clubOnline searchOther

If Other, please specify:

Which race are you entering? *
13-18 Years18+ Years

1. Team Name: *

2. Team Captain's Full Name: *

3. Captain's Email Address: *

4. Captain's Phone Number: *

5. Number of Team Members: (Min 2, Max 4) *
234

6. Names of Team Members: *
Please include full names of all members (including the captain).

7. Emergency Contact (Name & Phone Number): *

8. Does your team have your own life jackets? *
YesNo - we need to borrow some

9. I confirm that all team members are over 18 and can swim. *

10. Race Rules:

Please read the rules below carefully before proceeding.

[https://winsford.gov.uk/wp-content/uploads/2025/05/Rules.docx]

11. I have read and agree to the race rules. *

12. How did you hear about us?
Social mediaFriend or familyLocal poster or flyerCommunity group or clubOnline searchOther

If Other, please specify: