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

Event (Choose One)

Individual (entry includes: T-shirt, ChampionChip Timing, awards, prizes, food, festivities, and great camaraderie. (TRI NorthWest members deduct $10.00 from entry fees)
- Sprint Triathlon Individual (on or before July 18) - $70.00 Sprint Triathlon Individual (on or before July 19 through July 26) - $75.00 Sprint Triathlon Individual (July 27 - Packet Pickup/DOR) - $80.00 TRI-It (Novice) Triathlon Individual (on or before July 18) - $70.00 TRI-It (Novice) Triathlon Individual (on or before July 19 through July 26) - $75.00 TRI-It (Novice) Triathlon Individual (July 27Packet Pickup/DOR) - $80.00 Duathlon Individual (on or before July 18) - $70.00 Duathlon Triathlon Individual (on or before July 19 through July 26) - $75.00 Duathlon Triathlon Individual (July 27 - Packet Pickup/DOR) - $80.00

Relay Team (Per Person) (Each team member must complete an entry form. Please mail them together.)
- Triathlon Sprint Distance - $40 ppr received on or before 7/18 Triathlon Sprint Distance - $45 ppr received on 7/19 through 7/26 Triathlon Sprint Distance - $50 ppr (7/27 - Packet Pickup) / DOR Duathlon Sprint Distance - $40 ppr received on or before 7/18 Duathlon Sprint Distance - $45 ppr received on 7/19 through 7/26 Duathlon Sprint Distance - $50 ppr (7/27-Packet Pickup / DOR

First Name / MI / Last Name

Street Address

City

State/Province

Zip/Postal Code

Birthdate - mm/dd/yy

Age

Phone

Email

Division (Individual)

- 12 years & under 13 - 15 years 16 - 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 - 74 years 75 - 79 years 80 years & over
Special Division (applies only to individuals)
- Athena Family and Friends (Triathlon only)

RELAY MUST COMPLETE*
* Division (Relay - Combined three ages. If one person is doing two disciplines add their age twice to get a combined age of three)
- 105 & Under 106 & Over
* Team Name (20 characters or less)

* Teammates Names:

Swimmer (tri)

Runner #1 (du)

Biker

Runner (tri)

Runner #2 (du)

T-Shirt Size (included with entry fee)
- S M L XL XXL (add $3.00)

ChampionChip Number (if applicable - Example - CE12345)

TRI NorthWest Member # (if applicable) - Members can deduct $10.00 from Entry Fee

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.

Type Full Name


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

Date________________________________________