Kingscliff Triathlon

Username

New Password

Confirm Password

Private Email

Tick this option and we will not send you any marketing material.

First Name

Last Name

Gender

Day of Birth

Month of Birth

Year of Birth

Street Address

Suburb

State

Postcode

Mobile

Other Phone

Dietary Requirements (If Applicable)

Name

Phone Number

Tick here if you have any fitness reason that may affect your participation, or if you have a pre-existing medical reason that may affect you.

Tick here if the medical team need further information in the event of you being injured or unconscious.

Don't type in this box

Sign Up