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Registration Form
2009 waiver
25th 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.
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.  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__________
                                             Clydesdale__________
                                             Athena_____________
                                             Men's relay__________
                                             Women's relay_______
                                             Mixed relay_________
                                             Family relay_________
                                              Relay swimmer/racer___________     

2. Estimate 500 yard swim time:   _______________
3. Check special wave if applicable: Fast wave (fastest competitors, finish time under 1 hour 12 min)__________
                                                              Slow wave (slow swimmers estimated swim time over 10 min)____________

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 CDN)______
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)