30th ANNUAL
WAUSAU TRIATHLON 2009
August 1, 2009
| ENTRY FORM: Mail or FAX
(715-848-8705) with
entry fee to YMCA / Attn: Cathy Burnett, 707 Third Street, Wausau, WI 54403. Include a legal size, self-addressed, stamped envelope for confirmation information. On line registration available at www.active.com for an additional processing fee On-line registrations will not be accepted after 10:00 PM, Wednesday, July 29th. "Online Registration Powered by Active.com"
PLEASE PRINT CLEARLY: COURSE: (Circle) Long Short
T-Shirt Size: (Circle) S M L XL XXL
(size not guaranteed)
________________________________________________________________________________________________ Amount Enclosed $______________________
MC/VISA # _______________________________ ** NO SAME DAY REGISTRATION ** On-line registrations will not be available In-person or
mail-in registrations will be |
| Individuals (Check One) [ ] 16-19 Years [ ] 20-24 Years [ ] 25-29 Years [ ] 30-34 Years [ ] 35-39 Years [ ] 40-44 Years [ ] 45-49 Years [ ] 50-54 Years [ ] 55-59 Years [ ] 60-64 Years [ ] 65 Years & Up |
Teams No age categories (Check One) [ ] Male Team [ ] Female Team [ ] Co-Ed Team Check your events below [ ] Swim [ ] Bike [ ] Run |
ENTRY FEE:
[ ] $50.00 (before July 24) TEAM
|
| Individuals (Check One) [ ] Male [ ] Female |
Other Team Member Names: _______________________________
_______________________________ |
E-Mail us at: woodsonymcatri@yahoo.com
Entries can be FAXed to |
| Overall "Team Name" __________________________________________________________________ Please send Team entries together.
Separate registration and signature required for each team member. |
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