Toyota Desert International Distance and Sprint Distance Triathlon Entry Form
April 19, 2009
10th Annual Toyota Desert International and Sprint Triathlon
"Confirmation e-mail will be sent to all participants two weeks before the event."
(Limited to the first 1000)
Last year's event sold out, Register early!
Toyota Desert International Triathlon 8:00 a.m.
3/4 mile swim, 24 mile bike, 6 mile run
Desert Sprint Distance Triathlon- 7:00 a.m.
500 meter swim, 14 mile bike, 3 mile run
Lake Cahuilla- La Quinta
Benefiting PAL
Phone 760 324-7069
Email greg@kleinclarksports.com
www.kleinclarksports.com
|
Toyota Sprint Distance Triathlon
- $75.00 before March 1, 2008
- $85.00 from March 1 to April 19, 2008
- $95.00 race morning
(if event is not full, call first)
- No Relay Teams for Sprint Event
|
Toyota International Distance Triathlon
- $89.00 before March 1, 2008
- $99.00 from March 1 to April 19, 2008
- $110.00 race morning
(if event is not full, call first)
- 2 Person Relay Team $108.00
- 3 Person Relay Team $126.00
- Add $15.00 on race morning
|
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:
Toyota Desert International Triathlon - 8:00am - 3/4 mile swim, 25 mile bike, 6 mile run
Desert Sprint Distance Triathlon - 7:00am - 500 meter swim, 14 mile bike 3 mile run
|
Sex: Male Female
|
Age on race day |
T-SHIRT SIZE:
(Check one)
Small
Medium
Large
Ex-Large
(Relays mark all three)
Relay Person 1: T-SHIRT SIZE:
(Check one)
Small
Medium
Large
Ex-Large
Relay Person 2 T-SHIRT SIZE:
(Check one)
Small
Medium
Large
Ex-Large
Relay Person 3 T-SHIRT SIZE:
(Check one)
Small
Medium
Large
Ex-Large
|
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.
|
Collegiate
Military
Clydesdale (Male 200 lbs +) (Male 34 and under)
Clydesdale (Male 200 lbs +) (Male 35+)
Athena (Female 150 lbs +) |
Relay For International Distance Triathlon Only: Male Female Mixed
Team name:
|
Swimmer Name:
Sex: Male Female
Biker Name
Sex: Male Female
Runner Name
Sex: Male Female
|
Entry Fee:
Total Enclosed |
Waiver: 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, Toyota Desert International Triathlon, City of La Quinta, California Highway Patrol, Riverside County, Riverside County Sheriff, and all others involved with this event from all rights and claims for damages suffered by me in said event. I also state that I am in proper physical conditions to take part in said event. |
Signature (1)
Signature(2)
Signature (3)
(If under 18, must be signed by parent or guardian). All Relay Team Members must sign the waiver. |
