Entry Form
Spring Classic Triathlon/Duathlon & Kid's mini-tri - April 13, 2008
Mail completed entry form and fee to: Spring Classic Triathlon/Duathlon & Kid's mini-tri, @ Kristina Salazar, 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 March 15)            $40.00  $ ______
Triathlon  (Before April 1 )            $42.00  $ ______
Triathlon  (Before April 13)            $45.00  $ ______
Triathlon  day of race                  $50.00  $ ______
Triathlon 2/3 per. team (Before April 1)$60.00  $ ______
Triathlon "           "(Before April 13)$65.00  $ ______
Triathlon team day of race              $70.00  $ ______
Duathlon   (Before March 15)            $32.00  $ ______
Duathlon   (Before April 1)             $34.00  $ ______
Duathlon   (Before April 13)            $35.00  $ ______
Duathlon  day of race                   $40.00  $ ______
Duathlon 2/3 per. team (Before April 1) $45.00  $ ______
Duathlon "           " (Before April 13)$50.00  $ ______
Duathlon team day of race               $55.00  $ ______
Kids mini-tri (Before April 13)         $18.00  $ ______
Kids mini-tri day of race               $20.00  $ ______
                       No shirt option  -$5.00  $ ______
              Extra short sleeve shirt   $7.00  $ ______
              Extra long sleeve shirt   $12.00  $ ______
              Extra sweatshirt          $20.00  $ ______
              Updgrade to longsleeve     $7.00  $ ______
              Updrade to sweatshirt     $12.00  $ ______
T-shirt Size (circle one): 
Adult S  M  L  XL   XXL
Child S  M  L  XL   XXL

TOTAL ENCLOSED                                  $ ______

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

Waiver I HEREBY RELEASE THE PUGET SOUND CRUISERS, CITY OF ELMA, COUNTY OF GRAYS HARBOR, VANCE CREEK PARK, STATE OF WASHINGTON, AND 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 REASONS, INCLUDED BY NOT LIMITED TO PERSONAL INJURY OR DEATH. I HAVE TRAINED FOR THIS EVENT AND HAVE NO MEDICAL PROBLEMS. I KNOW MY ENTRY IS NON-REFUNDABLE NO MATTER WHAT THE REASON, MEDICAL, WEATHER, INJURY, CANCELLATION, ETC. AND I WILL NOT ASK FOR IT BACK. 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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