Fever River Triathlon Galena Illinois - Paddle, Bike, Run

Fever River Adventure Triathlon

2012 Team Registration

Person Information

First Name *

Last Name *

Email *

Phone 1 *

Street Address 1 *

Street Address 2

City *

State *

Postal Code *

Age

What kind of bike are you racing with? *

What kind of Boat are you racing with? *

Competitive or Standard Class *

Renting equipment?

Teammate #2 Name *

Teammate #2 Email

Teammate #3 Name

Teammate #3 Email

Teammate #4 Name

Teammate #4 Email

Tee Shirt Size

How did you find out about this race?

Options

Please select one:

	Charge my credit card $105
	Charge my credit card Early Register before June 1 $100
	Charge my credit card Late Registration, After Sept 1 $110

Fever River Outfitters | 525 S Main St. Galena, IL 61036 | (815) 776-9425
www.FeverRiverTriathlon.com | www.FeverRiverOutfitters.com |