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Run and Swim Group Training Registration Form
Name_______________________________________________
Phone
Number __________________E-mail
address_____________________
Level of
Experience:
Swimming:
Years ______ Hours per week _______ Masters
Swim?________
Biking: Years ______ Hours per week: _______
Average Speed for 10 miles _____
Running: Years_______ Hours per week:_______
Average minute/miles _______
Prices per
Sessions:
New
Athletes or not registered in Fall of 2007
Session type (pick one)
Run Group
___ Open Water Swim Group ___ Both Groups ____
Run OR Swim Only: Session #1 $70 ____
Sessions #1 & #2 $130 ____ Sessions #2 and #3 ___
Sessions 1-3 $180_____
Athletes
that wish to do both the Swim and the Run Group:
Session #1,
2 or 3 both Run and Swim Group- $130____
Both Sessions #1, 2 for both Run and Swim Group-
$240____ Sessions #2 and #3 _____
All 3 Sessions for both Run and Swim Group- $340
_____
ALUMNI from
2007 ONLY (most have been registered for same group
in 2007) to
receive the
discounts below:
Session
type (pick one)
Run Group
___ Open Water Swim Group ___
Run or Swim Only: Session #1 $60 ____
Sessions #1& 2____ OR Sessions #2 & 3 ____ $115
Sessions 1, 2 and 3 $165____
Both Groups: Session #1 $115 ____ Sessions
#1 & 2 $230____ Sessions #2 & 3 $230____
Sessions 1-3 $320____
Discounts
for sessions only apply if you prepay for 2 or 3 in
advance.
Amount Enclosed________
Make Checks Payable to Racheal Wood.
Send all information including
medical form and waiver to
Racheal Wood @400 SE 8th Avenue,
Deerfield Beach, Florida 33441
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