Online Application

Login

Ongoing...
July 17-September 11
10-week Duathlon Training Program
Training for...
Dousman Duathlon, Dousman
Join now!

To apply please fill out the form below and press submit. You may also download and print the application [PDF].

First Name: *

Last Name: *

Address: *

City: *

State: *

Zip Code: *

E-mail address: *

Mobile Phone:

Date of Birth: *

mm/dd/yyyy

Number of Triathlons Completed:

Number of Years Competing in Triathlons:

What TEAM 4 level are you Commit"ing" to?: *

Training Level - Option I $600

Training Level - Option II $350

Fundraising Level - Option I $150 plus $1400 in fundraising

Fundraising Level Option II $150 plus $800 in fundraising

Triathlon Experience Level: *

Distance Preferred: *

Key Races Planned for 2010:

Are you a new TEAM 4 member in 2010?:

Yes

Choose yes if you have never been a member of TEAM 4.

Please share with us why being a member of TEAM 4 is important to you: *