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07/21/2018 @ 9:00am
Green Valley Lake Aquathon
Aquathon Triathlon
Green Valley Lake, CA
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Green Valley Lake Aquathon Registration Form
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Price Schedule
thru
03/31/2018
thru
06/01/2018
thru
06/30/2018
final
Adult - Long Course
$75.00
$80.00
$85.00
Adult - Short Course
$60.00
$70.00
$75.00
Junior - Long Course
$40.00
Junior - Short Course
$40.00
Relay Team Captain - Long Course
$75.00
Relay Team Captain - Short Course
$60.00
Categories
*
Individual Adult Registration
Adult - Long Course -
$85.00
Adult - Short Course -
$70.00
Individual Junior Registration
Junior - Long Course -
$40.00
Junior - Short Course -
$40.00
Relay Team Registration
Relay Team Captain - Long Course -
$75.00
NOTE:
Each PARTICIPANT must enter a separate registration form. A link to the registration form will be included in your registration confirmation email so that you can forward the link to the other participant(s) you are paying for. They should use the pre-paid registration category and select the team name you specify when they register.
If you are a parent or guardian entering several forms for each of your family members, After you register yourself, then use the option to enter ANOTHER FORM for each person you are registering.
Relay Team Captain - Short Course -
$60.00
NOTE:
Each PARTICIPANT must enter a separate registration form. A link to the registration form will be included in your registration confirmation email so that you can forward the link to the other participant(s) you are paying for. They should use the pre-paid registration category and select the team name you specify when they register.
If you are a parent or guardian entering several forms for each of your family members, After you register yourself, then use the option to enter ANOTHER FORM for each person you are registering.
Relay Team Member - Long & Short Course -
$0.00
Participant Information
Team Selection
Team
*
- select -
Team password
Setup Team Information
Team Name
*
Team Password
*
We will send you an email with instructions and a link to register.
You can forward this email to the members of your team.
Email
*
Participant First Name
*
Participant Last Name
*
Participant Birthdate
*
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Participant Gender
*
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Bouvet Island
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Burkina Faso
Burundi
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Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
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El Salvador
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Ethiopia
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Faroe Islands
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French Guiana
French Polynesia
French Southern Territories
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Georgia
Germany
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Gibraltar
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Greenland
Grenada
Guadeloupe
Guam
Guatemala
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Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, the former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
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Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
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New Caledonia
New Zealand
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Nigeria
Niue
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Northern Mariana Islands
Norway
Oman
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Palestinian Territory, Occupied
Panama
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Pitcairn
Poland
Portugal
Puerto Rico
Qatar
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Romania
Russian Federation
Rwanda
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Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
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Samoa
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Sao Tome and Principe
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Senegal
Serbia
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Slovenia
Solomon Islands
Somalia
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South Georgia and the South Sandwich Islands
South Sudan
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Sudan
Suriname
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Switzerland
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Tanzania, United Republic of
Thailand
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Tonga
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Turkey
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Turks and Caicos Islands
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Uruguay
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Virgin Islands, U.S.
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Street Address
*
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*
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*
-- select state --
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Zip Code
*
Phone
*
Emergency Contact Name
*
Emergency Phone
*
Affiliated Club, Team, or Organization
add new team
- select your club or team-
Cal Tri
Neighborhood Cyclery
Pulse/Rehab United
Triple Victor
- I am not a member of a team -
new team name
select or enter a team name
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Payment Summary
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Price
$
Discount
$
(-)
Handling
$
Total
$
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click the "pay now" button to submit your order then send a check (or pay in person) at the address above.
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