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35th Annual Marshalton Triathlon
Recreational Registration
 
It is suggested that partners/families register together so that they can place themselves in a heat together. Racers under 6 are free and do not have to register, however they must race with a registered parent. You may register as an individual racer, but you will have to paddle the 16 foot 2-man canoe by yourself.

*all fields are required for each racer
Racer A  
First Name:
Last Name:
Gender: Male Female
Birthdate:
(mm/dd/yyyy)		 / /
Address:
City:
State:
Zip:
Phone:
(xxx) xxx-xxxx		 ( ) -
Email:
Class:
Registration Complete?  

Racer B  
First Name:
Last Name:
Gender: Male Female
Birthdate:
(mm/dd/yyyy)		 / /
Address:
City:
State:
Zip:
Phone:
(xxx) xxx-xxxx		 ( ) -
Email:
Class:
Registration Complete?  

Racer C  
First Name:
Last Name:
Gender: Male Female
Birthdate:
(mm/dd/yyyy)		 / /
Address:
City:
State:
Zip:
Phone:
(xxx) xxx-xxxx		 ( ) -
Email:
Class:
Registration Complete?  

Racer D  
First Name:
Last Name:
Gender: Male Female
Birthdate:
(mm/dd/yyyy)		 / /
Address:
City:
State:
Zip:
Phone:
(xxx) xxx-xxxx		 ( ) -
Email:
Class:
Registration Complete?  

Racer E  
First Name:
Last Name:
Gender: Male Female
Birthdate:
(mm/dd/yyyy)		 / /
Address:
City:
State:
Zip:
Phone:
(xxx) xxx-xxxx		 ( ) -
Email:
Class:
Registration Complete?  

Racer F  
First Name:
Last Name:
Gender: Male Female
Birthdate:
(mm/dd/yyyy)		 / /
Address:
City:
State:
Zip:
Phone:
(xxx) xxx-xxxx		 ( ) -
Email:
Class:


   
          
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