First Name:
Last Name:
email address:
Sex:
Birthdate:
Age:
Address:
City:
State:
Zip:
Event:
Category: Team Name:
Swimmer 1st Name:
Swimmer Last Name:
Biker 1st Name:
Biker Last Name:
Runner 1st Name:
Runner Last Name:
Individual Sprint or Olympic $50.00 Individual Youth or Child $25.00 Team Fee Adult $85.00 Team Fee Child $45.00 Family Team $75.00 Self Paced Event $25.00