Mail to:
AA Sports, Ltd.
4840 SW Western Ave.
Suite 400
Beaverton, OR 97005

Event (Choose One)

ENTRY FEES ARE NON-REFUNDABLE / NON-TRANSFERABLE

Individual
(ENTRY FEES INCLUDE: ChampionChip Timing, Commemorative T-shirt, Finisher Medal, Post Race BBQ)
- Olympic TRI - Individual (before June 12) - $70.00 Olympic TRI - Individual (6/12 - 6/20) - $75.00 Olympic TRI - Individual (PU/DOR) - $80.00 Olympic DU - Individual (before June 12) - $70.00 Olympic DU - Individual (6/12 - 6/20) - $75.00 Olympic DU - Individual (PU/DOR) - $80.00 Sprint TRI - Individual (before June 12) - $70.00 Sprint TRI - Individual (6/12 - 6/20) - $75.00 Sprint TRI - Individual (PU/DOR) - $80.00 TRI-IT - Individual (on or before June 12) - $60.00 TRI-IT - Individual (6/12 - 6/20) - $65.00 TRI-IT - Individual (PU/DOR) - $70.00

Relay - Two or Three Person (EACH PERSON MUST FILL OUT SEPARATE ENTRY FORM & ALL MUST BE MAILED IN TOGETHER)
(ENTRY FEES INCLUDE: ChampionChip Timing, Commemorative T-shirt, Finisher Medal, Post Race BBQ)
- Olympic Triathlon Relay - $35ppr (before June 12) Olympic Triathlon Relay - $40ppr (6/12 - 6/20) Olympic Triathlon Relay - $45ppr (PU/DOR) Duathlon Olympic Relay - $35ppr (before June 12) Duathlon Olympic Relay - $40ppr (6/12 - 6/20) Duathlon Olympic Relay - $45ppr (PU/DOR) Sprint Triathlon Relay - $35ppr (before June 12) Sprint Triathlon Relay - $40ppr (6/12 - 6/20) Sprint Triathlon Relay - $45ppr (PU/DOR)

First Name / MI / Last Name

Street Address

City

State/Province

Zip/Postal Code

Birthdate - mm/dd/yy (birth year not 2008)

Age

Gender
- Female Male
Phone

Email

Division (Individual)
- 12 - 14 years 15 - 17 years 18 - 24 years 25 - 29 years 30 - 34 years 35 - 39 years 40 - 44 years 45 - 49 years 50 - 54 years 55 - 59 years 60 - 64 years 65 - 69 years 70 - 74 years 75 - 79 years 80 years & over
Special Divisions (Applies to Individuals ONLY)
-Clydesdales (males 198lbs and over)Athena (females 150lbs and over)Family and Friends
RELAY MUST COMPLETE*
* Team Name (20 characters or less)

* Triathlon Relay Division (Combined three ages)
- 105 & Under - All Men's 105 & Under - All Female's 105 & Under - Mixed 106 & Over - All Men's 106 & Over - All Female's 106 & Over - Mixed

Swimmer

Biker

Runner

T-Shirt Size (included with entry fee.)
- S M L XL XXL (add $2.00)
ChampionChip Number (if applicable - Example - CE12345)

TRI NorthWest Membership # (if applicable - deduct $10.00 if a member)

Anticipated Finish Time

Check#

Amount Enclosed


WAIVER MUST BE READ, SIGNED AND MAILED WITH ENTRY
OFFICIAL WAIVER: I acknowledge that a Multi-Sport Event is an extreme test of a person's physical and mental limits and carries with it the potential for death, series injury, and property loss. I HEREBY ASSUME THE RISKS OF PARTICIPATING IN THIS EVENT. I certify that I am capable of completing all disciplines of the event, and that I am physically fit and that I have sufficiently trained. I agree to abide by the competitive rules. I hereby take the following action for myself, my executors, administrators, heirs, next to kin, successors and assigns, or anyone else who might claim or sue on my behalf, and I hereby waive, release and discharge from any and all claims, losses, or liabilities for death, personal injury, partial or permanent disability, property damage, medical or hospital bills, or theft which may arise out of or relate to my participation in this event. I agree not to sue, and to hold harmless any and all persons, sponsors, volunteers, participants or government agencies for any and all claims or liabilities that I have waived, released or discharges herein. I further agree to return the timing Chip that is been issued to me or to pay a $30 replacement charge. The Entry Fee is Non-Refundable/Non-Transferable.

Type Full Name


Signature X ___________________________________________________________________
(Signature of Parent or Legal Guardian if participant is under the age of 18)

Date________________________________________