| Official Entry Form The Granite Bay Triathlon, Duathlon and Kids 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: |
|
Granite Bay Triathlon |
$70 |
$80 |
|
| Granite Bay Tri. SUP Division |
$50 |
$60 |
|
| Granite Bay Duathlon |
$50 |
$60 |
|
| Kids Fun Run |
$10 |
$15 |
|
| Total Body Fitness 5209 Blaze CT. Rocklin, Ca 95677 |
Make checks payable to: TOTAL BODY FITNESS Total Amount Enclosed: $_____________ |