Vermont Sun Triathlon Print, Fill, & Mail Entry Form

Print out this form and fill in the necessary information ( Please print neatly ).
Mail the form with the appropriate entry fees payable to:
Vermont Sun, 812 Exchange St. , Middlebury, VT 05753

Name______________________________________________Sex_________Age________
Address___________________________________________________________________
City_______________________________________State____________Zip_____________
Night Phone_____________________Day Phone___________________________
Seeding Info: Best 500 Yd. Swim____________Best 10 Mi. Bike____________
Best 5K Run_____________
TEAMS: EACH MEMBER MUST FILL OUT SEPARATE ENTRY FORM.  TEAMS MUST MAIL FORMS TOGETHER.

          Check date(s) desired
TRIATHLONS
[  ]   Saturday May 20th   (Duathlon)
[  ]   Sunday, June 11th
[  ]   Saturday, June 24th
[  ]   Saturday, July 8th
[  ]   Saturday, July 22th
[  ]   Saturday, August 12th *
[  ]   Saturday, August 26th *
ROAD RACES
[  ]   Saturday, May 20th
[  ]   Saturday, August 12th
Individual

$28
$28
$28
$28
$28
$40
$38

$15
$15

Team

$40
$44
$44
$44
$44
$58
$58

 

 

* Entrants receive
a 5x7 action photo
in this event

ENTRIES MUST BE RECEIVED 84 HOURS IN ADVANCE OF RACE START.  LATE ENTRIES MUST BE RECEIVED 36 HOURS IN ADVANCE OF RACE START AND MUST INCLUDE $7 LATE FEE.  RACE DAY ENTRIES ACCEPTED , IF SPACE PERMITS, UP TO 30 MINUTES PRIOR TO RACE START.  RACE DAY FEE IS $17 PLUS REGULAR ENTRY FEE. CREDIT CARD HOLDERS MAY PHONE IN ENTRY ($4 FEE)
                                                                                WAIVER
Read carefully before signing.  In consideration of the acceptance by sponsors of my entry in this event, I hereby waive any liability the sponsors may have to me arising out of my participation in this race, furthermore, I have read the rules and regulations of the event and as a participant in this event I hereby agree to hold harmless Vermont Sun and all sponsors of this race for any damages either physical, personal, or property which may arise in relation to my participation in this event.
I am aware that participation in this race may present a serious strain to my body or its parts and I further warrant to the sponsors that to the best of knowledge I am in proper physical condition to allow me to participate.                                                    All Team Members
must sign the following, agreeing to the above disclaimer.  Parents must sign for those under 18.
Sign Here:__________________________________________________

TEAM MEMBERS (Print)

Name # ________________________
Name # ________________________
Name # ________________________

Mail completed form (mark race(s) entering)
and check made payable to:
Vermont Sun
812 Exchange Street
Middlebury, VT 05753

You may call Vermont Sun for late confirmation at (802) 388-6888
You are responsible for all race rules and directions

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