Desert Triathlon and Sprint Entry Form
March 5 & 6, 2011
12th Annual Desert and Expo International & Sprint Triathlon & Duathlon
Desert Sprint Triathlon & Duathlon March 5, 2011 - Start Time 8:00 am
Desert International Distance Triathlon March 6, 2011 - Start Time 8:00 am
INTL - 3/4 mile swim, 24 mile bike, 6 mile run - SPT-500 meter swim, 14 mile bike, 3 mile run
Sprint Duathlon - 1 mile run, 14 mile bike, 3 mile run
This event sells out so sign up early!!
"Confirmation e-mail will be sent to all participants two weeks before the event."
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Desert Sprint Triathlon & Duathlon Saturday March 5, 2011
- Sprint Distance $78.00 thru August 31, 2010 EARLY BIRD FEE (NO DISCOUNTS)
- Sprint Distance $88.00 September 1 thru December 31, 2010
- Sprint Distance $99.00 January 1, 2011 thru race day if available
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International Distance Sunday, March 6, 2011
Intl $89.00 thru August 31, 2010 EARLY BIRD FEE (NO DISCOUNTS)
Intl $99.00 September 1 thru December 31, 2010
Intl $110 January 1, 2011 thru race day if available
- 2 Person Relay Team $108.00 always
- 3 Person Relay Team $126.00 alway
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Triathlon Club discount; same as last year - $5.00 off Sprint, $10.00 off International - codes: sprint11 & international11
Please Complete and Print this form
Make your check payable and mail to Klein and Clark Sports, LLC
80 Via Del Mercato, Rancho Mirage, CA 92270
(760) 324-7069 /
www.kleinclarksports.com / e-mail: greg@kleinclarksports.com
Refund and Credit Policy |
| Name: |
Address: |
City: |
State: |
Zip: |
*E-mail:
*Mandatory for confirmation |
Please Choose the Event You Wish To Participate In:
8:00 a.m. Sunday March 6, 2011 Desert International Triathlon - 3/4 mile swim, 25 mile bike, 6 mile run
8:00 a.m. Saturday Desert Sprint Duathlon - 1 mile run, 14 mile bike, 3 mile run
8:00 a.m. Saturday Desert Sprint Triathlon - 500 meter swim, 14 mile bike 3 mile run
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Sex: Male Female
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Age on race day |
T-SHIRT SIZE:
(Check one)
Small
Medium
Large
Ex-Large
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Divisions Individuals (please indicate age group):
14 and under
15-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-65
70-74
75-79
80+
Elite Division for International race only.
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Collegiate
Military
Clydesdale (Male 200 lbs +) (Male 34 and under)
Clydesdale (Male 200 lbs +) (Male 35+)
Athena (Female 150 lbs +) |
Relay For International Triathlon Only: Male Female Mixed
Triathlon Club Name:
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Swimmer Name:
Sex: Male Female
Biker Name
Sex: Male Female
Runner Name
Sex: Male Female
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Entry Fee:
Total Enclosed |
Waiver and release: In consideration of the acceptance of my entry, I, for myself, my executors, administrators, as assignees, do hereby release and discharge Greg Klein, Brenda Clark, Klein and Clark Sports, LLC, City of La Quinta, California Highway Patrol, Riverside County, Riverside County Sheriff, and all governmental agencies whose property and/or personnel are used, and other sponsoring or co-sponsoring companies, agencies or individuals involved with this event from all rights and claims for damages suffered by my participation in this event. I also state that I am in proper physical condition to take part in this event. I will additionally permit the use of my name and picture in broadcasts, telecast, newspapers, brochures, etc., and I also understand that the entry fee is non-refundable. As a participating athlete, I certify that all the information provided in this form is true and complete. I have read the entry information provided for the event and certify my compliance by my signature below. |
Signature (1)
Relay Signature(2)
Relay Signature (3)
All Relay Team Members must sign the waiver.
Signature Minor/Parent |
