| Official Entry Form The Granite Bay Triathlon Sunday, September 28, 2008. 9am start .75 mile swim - 14 mile road bike - 5 mile run Granite Beach, Folsom Lake, Granite Bay, CA |
| Last Name: | ______________________ | Street Address: | ___________________________________ | |||
| First Name: | ______________________ | City, State ZIP: | ___________________________________ | |||
| Gender: | Male Female | Phone: | ___________________________________ | |||
| Date of Birth: | ______________________ | Email: | ___________________________________ | |||
| Race Day Age: | ______________________ | Team/Club: | ___________________________________ |
| Category: | Division: | |
| Individual | Age-Group Athena/Clydesdale |
| Category: | Early: | Race Day: | |
| Individual | $70 | $80 | |
| Total Body Fitness 5209 Blaze CT. Rocklin, Ca 95677 |
Make checks payable to: TOTAL BODY FITNESS Total Amount Enclosed: $_____________ |