Perth Earlybird Tri Duathlon

Tri-IndividualInfoInfoWe are a non-profit, incorporated club.Our only sponsor is the Perth Stingrays Aquatic Club!Our primary purpose is to raise funds for the Perth and District Indoor Pool.All proceeds from this race will be used for items to enhance the pool and support the Perth Stingrays!The RaceThe Race The FeesTriathlon Individual $40.00Triathlon Team - $50.00Duathlon - $30.00Registration is now Closed!Please complete the applicable form to compete. Note that we need: Your projected 500m swim time.Your T-shirt size.Remember that ALL participants must bring a pot luck item.Fees Tri-IndividualTri-TeamDua-IndividualContact UsContact Us Thank you for your interest in the Perth Earlybird Tri/duathlon. Registration is now closed. Please check our website early next spring so you don't miss our next event! Cory or Kris Plant Email: ckplant_gmail.com Phone: 613 267-3591Sunday June 19th 2011Registration is now Closed!

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I need from EACH person - Their T-shirt size,and their time for a 500m swim. Be ready to go a 8am. Tranisition will open at 7am.All O.A.T. rules apply.Perth Earlybird Tri/Duathlon, Sunday June 19, 2011________________________________________________________________________________________________Individual Triathlon - Minimum age 16Last Name: ____________________________First Name: ______________________________________Age:________ Gender:________ Estimated 500 meter swim time:__________________________I, on behalf of myself or the above named, do hereby release the "Perth Earlybird Tri/Duathlon" Race Director andCommittee; sponsors and the town of Perth, from all and any damages/injuries arising from participation in this event. Ialso attest to be physically able to compete in this event. Signature of Athlete:____________________________Signature of Parent or Guardian if under 18:____________________________________________________________________________________________________________________________Individual Duathlon – Minimum age 16Last Name: ____________________________First Name: ______________________________________Age:________ Gender:________I, on behalf of myself or the above named, do hereby release the "Perth Earlybird Tri/Duathlon" Race Director andCommittee; sponsors and the town of Perth, from all and any damages/injuries arising from participation in this event. Ialso attest to be physically able to compete in this event. Signature of Athlete:____________________________Signature of Parent or Guardian if under 18:____________________________________________________________________________________________________________________________Team TriathlonTeam Name:___________________________________________________________________________Swimmer (Minimum age 12)Last Name: ____________________________First Name: ______________________________________Age:________ Gender:________ Estimated 500 meter swim time:__________________________I, on behalf of myself or the above named, do hereby release the "Perth Earlybird Tri/Duathlon" Race Director andCommittee; sponsors and the town of Perth, from all and any damages/injuries arising from participation in this event. Ialso attest to be physically able to compete in this event. Signature of Athlete:___________________________Signature of Parent or Guardian if under 18:___________________________Biker (Minimum age 16)Last Name: ____________________________First Name: ______________________________________Age:________ Gender:________I, on behalf of myself or the above named, do hereby release the "Perth Earlybird Tri/Duathlon" Race Director andCommittee; sponsors and the town of Perth, from all and any damages/injuries arising from participation in this event. Ialso attest to be physically able to compete in this event. Signature of Athlete:___________________________Signature of Parent or Guardian if under 18:___________________________Runner (Minimum age 14)Last Name: ____________________________First Name: ______________________________________Age:________ Gender:________I, on behalf of myself or the above named, do hereby release the "Perth Earlybird Tri/Duathlon" Race Director andCommittee; sponsors and the town of Perth, from all and any damages/injuries arising from participation in this event. Ialso attest to be physically able to compete in this event. Signature of Athlete:___________________________Signature of Parent or Guardian if under 18:___________________________ Support our Sponsor!

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