Saturday, June 25, 2011 -- Clay, WV
Elk River Challenge Triathlon ENTRY FORM
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RACE CONTACT: William Dunn (phone) 304-587-4455 (e-mail) welldunn44@suddenlink.net
Fee: . . . Team fee $90.00 . . . Solo fee $30.00
Includes registration, t-shirt and BBQ dinner! Pre-Registration Must be post marked by June 20, 2011
Make checks payable to: Elk River Challenge
Mail to: Elk River Challenge, 2730 Fola Road, Bickmore, WV 25019
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SOLO CATEGORY
Choose Solo Type: Mens____ or Womens____
Print name and information here if racing solo.
Name ______________________________________________________________________
Address___________________________________________________________________
City____________________________________________State_______ Zip__________
T-shirt Size: Small____Medium____Large____XL____XXL____
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OR
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TEAM CATEGORY
Types are men only, women only, and co-ed (must have at least one female).
Choose Team Type: Mens____ Womens_____ Co-ed____
TEAM NAME: ____________________________________________________________________
Print team member names and information below if racing as a team.
- TEAM MEMBER #1 __________________________________________________________________
Address___________________________________________________________________
City____________________________________________State_______ Zip__________
T-shirt Size: Small____Medium____Large____XL____XXL____
- TEAM MEMBER #2 __________________________________________________________________
Address___________________________________________________________________
City____________________________________________State_______ Zip__________
T-shirt Size: Small____Medium____Large____XL____XXL____
- TEAM MEMBER #3 __________________________________________________________________
Address___________________________________________________________________
City____________________________________________State_______ Zip__________
T-shirt Size: Small____Medium____Large____XL____XXL____