TRI THE PARKS TRIATHLON RACE SERIES

TRIATHLON, DUATHLON, AQUABIKE intermediate distance event

richard b. russell STATE PARK,  JULY 29, 2017

 

OFFICIAL ENTRY FORM – PLEASE PRINT

Please Select Choice of Event:  __Triathlon__Duathlon__Aquabike

Please Check Only One: (required for processing your entry)

__Age Group__Male Team__Female Team__Mixed Team

__Clydesdale – 220lbs+  __Athena – 165lbs+  __Novice M__Novice F

__Physically Challenged

Please Print All Requested Information:

First Name____________________________________________________

Last Name____________________________________________________

Address______________________________________________________

City_____________________State______ Zip Code__________________

Day Phone____________________Night Phone_____________________

Email_________________________________________________________

Sex:  M   F    Birthdate____/____/____Age as of December 31, 2017______

T-Shirt:  S   M   L   XL   XXL  USAT #____________Exp Date__________

Emergency Name and Number____________________________________

Medical Info___________________________________________________

Relay Team Captain Complete the Following for Each Team Member

First Name____________________Last Name______________________

City_____________________State______Zip Code_________________

USAT #__________Exp Date______Sex:  M  F    T-Shirt  S  M  L  XL  XXL

First Name____________________Last Name______________________

City_____________________State______Zip Code_________________

USAT #__________Exp Date______Sex:  M  F    T-Shirt  S  M  L  XL  XXL        

Entry Fees:

November 7 - December 31

    Individual                        $79

    Relay Team                      $115

January 1 - March 24

    Individual                        $89

    Relay Team                    $125

March 25 - June 23  

    Individual                        $99

    Relay Team                    $135

June 24 - July 21      

    Individual                      $119

    Relay Team                    $145 

 

*Must add $15 if Non USAT Member in order to receive one day membership

*Each relay team member must add $15 if Non USAT member

  

There is no race day registration.

Field limit is 500.  Once field limit is reached, registration will close.

 

Checks Payable To:  Blue Sky Sports, LLC.  Amount Submitted:_______

Mail To:  Blue Sky Sports, LLC    P.O. Box 813594    Smyrna, GA 30081

 

A liability waiver will be required to be signed when picking up race packet.

Packet pick-up at All3Sports, July 27th 10:00 am – 2:00 pm; at the park

July 28th noon - 7 pm; and Race Day 5:30 am - 7:00 am.

 

No Refunds.