Driathlon Online Registration

Registrant #1

Who are you registering? *

First Name *

Last Name *

New TriSignup account details

Email Address *

Confirm Email *

Create Password *

Must meet two of the following requirements: Must meet three of the following requirements:

Requirements Met

Confirm Password *

Passwords Match

Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender *

Male Female

Phone *

Valid formats include: 000-000-0000 or 0000000000

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event *

2 Person Team - 2 People Canoe, Bike and Run

$70.00 + $5.20 SignUp Fee

(Group Pricing)

2 Person Relay - 2 people canoe/1 person Bike/1 person Run

$70.00 + $5.20 SignUp Fee

(Group Pricing)

Individual Kayak (Yours)

$60.00 + $4.60 SignUp Fee

(Group Pricing)

Individual Kayak (Provided)

$70.00 + $5.20 SignUp Fee

(Group Pricing)

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Driathlon

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Registrant #1

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New TriSignup account details

Choose Your Event *

Team Male Under 80 Pricing

Team Male 80+ Pricing

Team Female Under 80 Pricing

Team Femal 80+ Pricing

Team Coed Under 80 Pricing

Team Coed 80+ Pricing

Relay Male Under 80 Pricing

Relay Male 80+ Pricing

Relay Female Under 80 Pricing

Relay Female 80+ Pricing

Relay Coed Under 80 Pricing

Relay Coed 80+ Pricing

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Registrant #1

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New TriSignup account details

Choose Your Event *

Team Male Under 80 Pricing

Team Male 80+ Pricing

Team Female Under 80 Pricing

Team Femal 80+ Pricing

Team Coed Under 80 Pricing

Team Coed 80+ Pricing

Relay Male Under 80 Pricing

Relay Male 80+ Pricing

Relay Female Under 80 Pricing

Relay Female 80+ Pricing

Relay Coed Under 80 Pricing

Relay Coed 80+ Pricing