Entry Form
Memorial Day Triathlon/Duathlon, Kids Mini-tri and Footraces - May 26, 2008
Mail completed entry form and fee to: Memorial Day Triathlon/Duathlon, Kids Mini-tri and Footraces, @ 9435 180th Way Sw, Rochester, Wa 98579, Elma, WA
(Please print)

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

FEES: (Entries include T-shirt):

Triathlon (Before May 16)              $45.00  $ _____
Traithlon (Before May 26)              $50.00  $ _____
Triathlon Day of race                  $55.00  $ _____
Tri 2/3 person  (Before May 26)        $60.00  $ _____
Tri 2/3 person  day of race            $70.00  $ _____
Duathlon (Before May 16)               $35.00  $ _____ 
Duathlon (Before May 26)               $40.00  $ _____
Duathlon day of race                   $45.00  $ _____
Du 2/3 person team (Before May 26)     $50.00  $ _____
Du 2/3 person team day of race         $60.00  $ _____
Kids Mini-tri (Before May 26)          $18.00  $ _____
Kids Mini-tri day of race              $20.00  $ _____
15K (9.3 miles) (Before May 26)        $30.00  $ _____
15K day of race                        $35.00  $ _____
10K (6.2 miles) (Before May 26)        $25.00  $ _____
10K day of race                        $30.00  $ _____
5K (3.1 miles) (Before May 26)         $20.00  $ _____
5K day of race                         $25.00  $ _____
1 mile day of race                     $15.00  $ _____
kids dash day of race                  $15.00  $ _____
                   No t-shirt option    -$5.00 $ _____
            Extra short sleeve shirt    $7.00  $ _____
            Extra tank top             $10.00  $ _____
            Extra long sleeve          $12.00  $ _____
            Upgrade to long sleeve     $10.00  $ _____
            Upgrade to tank top        $10.00  $ _____


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

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

Waiver I HEREBY RELEASE THE PUGET SOUND CRUISES, CITY OF ELMA, STATE OF WASHINGTON, GRAYS HARBOR COUNTY, VANCE CREEK PARK, ANY EMPLOYEES, VOLUNTEERS OR ANY ONE ELSE INVOLVED IN THE ABOVE EVENTS. I KNOW BY SIGNING THIS FORM, I'M WAIVING MY RIGHTS TO SUE FOR ANY AND ALL REAS ONS, INCLUDING BUT NOT LIMITED TO PERSONAL INJURY OR DEATH. I KNOW MY ENTRY FEE IN NON-REFUNDABLE NO MATTER WHAT THE REASON 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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