2008 ENTRY FORM — US Women's Triathlon Series — San Diego
Make check payable to:
CAPRI EVENTS
Send with signed entry to: Capri Events c/o SMA, 4562 N. 126th St.
Butler, WI 53007
NO REFUNDS OF ENTRY FEES. US FUNDS ONLY
Events could fill
at any time. To
confirm that a
race is still
open visit
www.USWTS.com
NOTE 1: NO DIVISION CHANGES WILL BE ALLOWED AFTER 10/13/08. NO EXCEPTIONS.
OFFICE USE ONLY
 
THIS FORM MAY
BE COPIED.

FIRST NAME

LAST NAME

STREET ADDRESS
CITY
STATE
ZIP
Age on
Race Day:
Birth
Date:
Choose One: Shirt Size: YL  S  M  L  XL  XXL
Tank Top Size: S  M  L  XL
ChampionChip Timing:
I will Supply my own chip.
CHIP CODE:
Work Phone: (___) __________ Home Phone: (___) ________
E-mail: ___________________________________________
Company: _________________________________________
Occupation: ________________________________________
In Case of Emergency Call:
Name: ______________________ Relationship: _________
Phone: (___) _____________ Medical problem. Please
attach an explanation.
1/2 PRICE SUBSCRIPTION TO TRIATHLETE
YES! Send me One Year (12 issues) of Triathlete Magazine. I've included the 55% OFF subscription payment of just $26.95 with my race entry fee. Good on new subscriptions or for renewals.
OVARIAN CANCER RESEARCH FUND
Membership in USA Triathlon or a USAT single
event permit is required for participation
in the Subaru US Women's Triathlon.

Yes! I want to help even more!

I have included my tax deductible donation to the Ovarian Cancer Research Fund in the amount of:
$10   $20  $50  $100  Other _______

   I am/will be a USAT member on race day and will show
     my card at packet pickup. My 6 digit USA Triathlon
     membership number is: __ __ __ __ __ __.
  I am 18 years or older and need to purchase a $10.00
     USAT single event permit.
  I am 17 years or younger and need to purchase a $5.00
     USAT yearly permit.
  For USAT information visit www.USATriathlon.org.
Please enter me in one of the following categories (please check ONE):
SPRINT
  
SUPERSPRINT
Division*
Have
USAT
License
17 & Under
ADD USAT
Permit
18 & Over
ADD USAT
Permit
  
Division*
Have
USAT
License
17 & Under
ADD USAT
Permit
18 & Over
ADD USAT
Permit
 Age Group
box $  66
box $   71
box $   76
    Age Group
box $   36
box $   41
box $   45
 Elite
box $   66
box $   71
box $   76
    Elite
Not available for SuperSprint distance
 Triumph
box $   66
box $   71
box $   76
    Triumph
box $   36
box $   41
box $   45
 Family
box $   66
box $   71
box $   76
    Family
box $   36
box $   41
box $   45
 Relay Team
box $ 120
N/A
N/A
   Relay Team
box $   75
N/A
N/A
Team Name:______________________________________   Team Name:______________________________________
READ CAREFULLY BEFORE SIGNING: I acknowledge the following:(1) Prior to receiving my Event race packet, I will be required to show my photo ID and proof of my current USAT membership or my current USAT single event permit. (2) I will be required to sign and submit both the Event & USAT AWRL Forms and Event Swim Waiver, and if I am under 18-years in age, the signature of my parent or guardian is required. (3) Failure to meet any of the above criteria at the time of race packet pick up will disqualify me from participating in the Event. (4) There are no refunds of race entry fees, and Event entry transfers are the discretion of CAPRI Events.
Signature _______________________ Date ________ Parent's
Signature _______________________ Date ________
If participant is under 18 as of 10/19/08
CODE: web-SD