Mail to:
AA Sports, Ltd. c/o My First Tri
4836 SW Western Ave
Beaverton, OR 97005

Event (Choose One)

Individual (entry includes: Commemoritive shirt, My First Tri Finisher Medal, ChampionChip Timing, awards, prizes, food, festivities, and great camaraderie.)
18 Years of age and under can deduct $10.00 from the entry fee.
TRI NorthWest members can deduct $10.00.
- $60.00 (on or before 7/20) $65.00 (7/21 through August 1) $70.00 (August 2 - Packet Pickup/Dor)

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 - 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 & over

Special Divisions (optional division only))

- Athena (females 150lbs and over) Clydesdales (males 198lbs and over)

Tech-Shirt Size (included with entry fee. Sizes & Quantities guaranteed to those registered by 7/20)
- S M L XL XXL (add $3.00)

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________________________________________