Entry Form
Father's Day Triathlon/Duathlon, Kids mini-tri & Footraces - June 15, 2008
Mail completed entry form and fee to: Father's Day Triathlon/Duathlon, Kids mini-tri & Footraces, @ 9435 180th Way, Sw, Rochester, Wa 98579, Elma, WA
(Please print)

Name (first)                           (last)
|__|__|__|__|__|__|__|__|__|__|__|__| 
|__|__|__|__|__|__|__|__|__|__|__|__| Address
|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|_
_| City                                   State         Zip
|__|__|__|__|__|__|__|__|__|__|__|__| |__|__| |__|__|__|__|__| Phone      
                              Sex        Age on Race Day |__|__|__|
|__|__|__| |__|__|__|__|       M    F         |__|__|

FEES: (Entries include T-shirt):

Triathlon  (Before June 4)          $45.00  $ ______
Triathlon (Before June 15))         $50.00  $ ______
Triathlon day of race               $55.00  $ ______
Tri 2/3 person team (Before June 15)$60.00  $ ______
Tri 2/3 person team day of race     $70.00  $ ______
Duathlon   (Before June 4)          $35.00  $ ______
Duathlon   (Before June 15)         $40.00  $ ______
Duathlon day of race                $45.00  $ ______
Du 2/3 person team (Before June 15) $45.00  $ ______
Du 2/3 person team day of race      $55.00  $ ______
Kids mini-tri (Before June 15)      $18.00  $ ______
Kids mini-tri day of race           $20.00  $ ______
15K (9.3 miles) (Before June 15)    $30.00  $ ______
15K day of race                     $35.00  $ ______
10K (6.2 miles) (Before June 15)    $25.00  $ ______
10K day of race                     $30.00  $ ______
5K (3.1 miles) (Before June 15)     $20.00  $ ______
5K  day of race                     $25.00  $ ______
2 mile  (Before June 15)            $15.00  $ ______
2 mile day of race                  $18.00  $ ______
1 mile (Before June 15)             $15.00  $ ______
1 mile day of race                  $18.00  $ ______
            No shirt option          -$5.00 $ ______
     Extra short sleeve shirt        $7.00  $ ______
     Extra long sleeve shirt        $12.00  $ ______
     Extra tank top                 $12.00  $ ______
     Upgrade to long sleeve          $7.00  $ ______
     Upgrade to tank top             $7.00  $ ______   

T-shirt Size (circle one): 
Adult S  M  L  XL   
Child S  M  L  XL

MAKE CHECK PAYABLE TO: Kristina Salazar, 9435 180th Way, Sw, Rochester, Wa 98579

Waiver I HEREBY RELEASE THE PUGET SOUND CRUISERS, VANCE CREEK PARK, COUNTY OF GRAYS HARBOR, CITY OF ELMA, STATE OF WASHINGTON AND ANY EMPLOYEES, VOLUNTEERS, SPECTATORS OR ANYONE INVOLDED IN THE ABOVE EVENTS. I KNOW BY SIGNING THIS FORM I'M WAIVING MY RIGHT TO SUE FOR ANY AND ALL REASON, INCLUDED BUT NOT LIMITED TO PERSONAL INJURY OR DEATH. I ALSO KNOW MY ENTRY IS NON-REFUNDABLE FOR ANY AND ALL REASONS AND I WILL NOT ASK FOR IT BACK. I HAVE TRAINED FOR THIS EVENT AND HAVE NO MEDICAL PROBLEMS. THE DECISION OF THE RACE DIRECTOR IS FINAL.

__________________________________________________________________
Signature of Athlete Date (Signature of Parent or Guardian if under 18 years)

For more information call 360-273-9684 or wanttoduit@hotmail.com

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