2007 --- Entry Form for the Whirlpool Steelhead 70.3 Triathlon --- 2007
Make check payable to:
CAPRI EVENTS
Send with signed entry to:
CAPRI Events -Transfer of Entry  • 
PO Box 577490, Chicago, IL 60657-7490
NO REFUNDS OF ENTRY FEES.
US FUNDS ONLY
2007 Event offers online registration only. If the event fills, transfers will be allowed on a first come served basis.

NOTE:
You must be 18 years or older to participate in the Whirlpool Steelhead 70.3 Triathlon.

You need permission to transfer your entry and there are NO REFUNDS.
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:
Work Phone: (___) _____________  Home Phone: (___) ____________
E-mail: ___________________________________________________
Company: ________________________________________________
Occupation: ______________________________________________
In Case of Emergency Call:
Name: ____________________ Relationship: _________
Phone: (___) _____________ Medical problem. Please
        attach an explanation.

MALE    FEMALE

Choose One: T-Shirt Size: YL  XL  XXL
Number of Past Triathlons: _______
Longest Distance to Date:
Sprint  International  1/2 Ironman  Ironman
ChampionChip Timing:
I will Supply my own chip. CHIP CODE:
  
ENTRY FEES (NO REFUNDS)
Please check one 
USAT
Member

Non USAT
Member
WHIRLPOOL STEELHEAD 70.3 TRIATHLON
1.2 mile Swim - 56 mile Bike - 13.1 mile Run
Open Age Group
$190
$200
Clydesdale* / Athena*

$190

$200
* For women 150+ lbs. and men 200+ lbs.
  Weigh-in required at packet pick-up.
Relay Team
$290
$300
2 or 3 persons to a team
Male    Female    Coed - 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. (2) I will be required to sign and submit both the Event & USAT AWRL Forms and Event Swim Waiver. (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 ________  
CODE: web-07steel