Mail to:
AA Sports, Ltd.
4836 SW Western Ave
Beaverton, OR 97005

Event (Choose One)

Individual
INDIVIDUAL (entry includes: T-shirt, Day Use Park Pass, ChampionChip Timing, awards, prizes, food, festivities, and great camaraderie.
TRI NorthWest members can deduct $10.00
- Triathlon Olympic Individual - $75 received on or before 5/28 Triathlon Olympic Individual - $80 received on 5/29 through 6/3 Triathlon Olympic Individual - $85 Packet Pickup Duathlon Olympic Individual - $75 received on or before 5/28 Duathlon Olympic Individual - $80 received on 5/29 through 6/3 Duathlon Olympic Individual - $85 Packet Pickup

Relay Team (Per Person) (Each team member must complete an entry form. Please mail them together.)
- Triathlon Olympic Relay - $40ppr received on or before 5/28 Triathlon Olympic Relay - $45ppr received on 5/29 through 6/3 Triathlon Olympic Relay - $50ppr Packet Pickup Duathlon Olympic Relay - $40ppr received on or before 5/28 Duathlon Olympic Relay - $45ppr received between on 5/29 through 6/3 Duathlon Olympic Relay - $50ppr Packet Pickup

First Name / MI / Last Name

Street Address

City

State/Province

Zip/Postal Code

Birthdate - mm/dd/yy

Age

Gender
- Female Male

Phone

Email

Division (Individual)

- 12 years & under 13 - 14 years 15 - 17 years 18 - 19 years 20 - 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 years & over
Special Divisions (Applies to Individuals ONLY)

-Clydesdales (males 198lbs and over)Athena (females 150lbs and over)Family and Friends
I am competing in the Club Championship; please add me to the Club Roster for (your club or team name):


RELAY MUST COMPLETE*
* TRIATHLON DIVISION (Combined three ages. If two on a team, take the person who is doing two disciplines and double it)
- 105 & Under - All Men 105 & Under - All Women 105 & Under - Mixed 106 & Over - All Men 106 & Over - All Women 106 & Over - Mixed
* DUATHLON DIVISION (Combined two ages.)
- 70 & Under - All Men 70 & Under - All Women 70 & Under - Mixed 71 - 90 - All Men 71 - 90 - All Women 71 - 90 - Mixed 91 & Over - All Men 91 & Over - All Women 91 & Over - Mixed
* Team Name (20 characters or less)

* Teammates Names:

Swimmer (tri)

Runner #1 (du)

Biker

Runner (tri)

Runner #2 (du)

T-Shirt Size (Each participant receives a 100% Cotton Short sleeved T-shirt
- S M L XL XXL (add $2.00)
ChampionChip Number (if applicable - Example - CE12345)

TRI NorthWest# (if applicable - deduct $10.00)

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________________________________________