Mail In
Registration for Events
Name______________________________________________
Address____________________________________________
City______________________________________ State_____________________ Zip
Code____________
Phone Number
____________________________ Cell Phone ______________________
Email Address
_______________________________________
Emergency Contact
_________________________________ Phone for EC
________________________________
Level of Experience
pertaining to event ________Novice-no experience ______Beginner
(limited experience) _____Intermediate (some experience)
Advanced (experienced in racing or at the discipline).
Check the Event and
Include the date or Group:
Clinics- $35,
$45 day of event Date of Clinic ____________
Location _____________
Open Water Swim Clinic _____ Transition Clinic
______ Ready to Race Clinic ______ Nutrition Clinic _____
Bike Handling Skills Clinic ______ Bike Efficiency and Power Clinic ____
Mini Open Water Swim Clinic for FAU Race on April 12th is $20 _______if
posted marked by April 7th. $25 after ____ and $35 on event day _____
Bricks
- $25 if postmarked 4 days before event, $30 postmarked up to
3 days before event,
$35 thereafter or on event day
Date of Brick ___________
Spanish River Park ___ South Beach Park ___ Deerfield Beach
South End Parking Lot ___ Birch State Park ____ Vista View ___
Tradewinds___ Gulfstream Park ___ Boynton Inlet___
Miami Man
Training Programs _______Half Ironman $120
________ International Distance $120
Gold Coast Triathletes get $10 discount ______
Run Group
Tuesday Night Session Three ______$35 New runner
_______$30 returning runner ______ $25 Gold Coast Triathlete
Join Gold Coast and Run group _____$55.
Open
Water Swim group Advanced Thursday morning ______$40 New
swimmer _____$35 return swimmer_____$30 Gold Coast
Intermediate/Beginner Open Water Swim Group ________ $70 new
swimmer _____$60 returning ____$55 Gold Coast Triathlete
Join Gold Coast and swim for $85 ________
Amount Enclosed
________ If you have a discounted rate due to being a Gold Coast
Triathlete, or personal athlete....please indicate on form.
You must fill out and send in
the Medical Form and Sign
the Wavier Form for events for 2008 in order to participate.
Checks are payable to Racheal Wood @400 SE 8th Avenue, Deerfield Beach, FL
33441