Tri for the Y Online Registration

Registrant #1

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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 *

Tri for the Y - Individual

$70.00 + $5.20 SignUp Fee

(Group Pricing)

Tri for the Y - Relay

$210.00 + $13.60 SignUp Fee

— Group/Team Pricing May Apply (Group Pricing)

Aqua Bike

$70.00 + $5.20 SignUp Fee

(Group Pricing)

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Tri for the Y

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Registrant #1

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New TriSignup account details

Choose Your Event *

Relay Team - Open Pricing

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Registrant #1

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New TriSignup account details

Choose Your Event *

Relay Team - Open Pricing