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Registration Form
26th Annual TRF MeritCare Triathlon
Make check payable to TRF Swim Club and mail completed entry,
signed waiver and fee to:
TRF MeritCare Triathlon
C/o Jim Langland M.D.
MeritCare Thief River Falls Southeast Clinic
1720 Highway 59 SE
Thief River Falls, MN 56701
Entry fee is non-refundable and non-transferable. Photo ID required at race check-in.
TRF TRIATHLON ENTRY FORM
Fill out and sign waiver (below). Separate waiver required for each relay team member.
Name:__________________________
Address:________________________
City:___________________________State/Province:_______ZIP________
E-mail:__________________________Age (on 12/31/09):______ DOB______________
Sex: M F USA Triathlon number:____________(must present card at registration)
1. Check race category: Age group__________ Men's relay__________
Clydesdale__________ Mixed relay_________
Athena_____________ Women's relay_______ _ Relay swimmer/racer______ Family relay_________
2. Estimate 500 yard swim time: _______________
3. Check special wave if applicable: Fast wave (fastest competitors, finish time under 1 hour 12min)____
Slow wave (slow swimmers estimated swim time over 10min)__________
4. Entry Fee (must be enclosed with signed waiver):
Postmarked by April 1 $35 (US or CDN)______
Relay postmarked by April 1 $75 (US or CDN)_____
Late fee for postmark after April 1 $15 (US or CD______
USA Triathlon annual members subtract $10 $ -10 _______
Kids Triathlon (includes USAT annual youth membership) $18 (US or CDN)______
TOTAL________
5. READ, SIGN & DATE Waiver (required for all relay team members, parents signature if <18):
2009_Waiver-paper_registration.pdf
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