Registration

Please complete a separate registration form for each entrant.

Parent or Guardian

First Name*

Last name*

Relationship to Entrant:*

Email*

Phone*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Emergency Contact

First Name (Emergency Contact)*

Phone (Emergency Contact)*

Relationship to Entrant (Emergency Contact) *

Youth Entrant

Please complete a separate registration form for each entrant.

First Name (Entrant)*

Last Name (Entrant)*

Gender*

Male

Female

Birthday*

Month

Day

Year

Shirt Size*

Small

Medium

Large

X-Large

All shirts are youth sizes.

Choose a Race

Please select which race you would like to register for (1 per entrant).*

Duathlon Entry$30

Triathlon Entry$45

Tri-Relay Entry (ages 10-13)*$20

Registration fee includes race entry, t-shirt, event bib and raffle entry.

*For the Tri-Relay, the price is per participant. Please register separately and then enter the names of the other 2 participants on your relay team below.

Tri-Relay Team Member 1 (SWIM):

Tri-Relay Team Member 2 (BIKE):

Tri-Relay Team Member 3 (RUN):

By checking this box and submitting this form, I agree to the participant waiver. Please sign the waiver in person the day of the race.

USA Triathlon Member

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