MMLF Registration Form - Cottage Lake Tri & TriAgain, 6/19/2010
Please enter all the information for a valid registration
Name 
Address   
City  State  Zip
Email  Gender Male Female
Phone  Age on 12/31/2010 
Mobile  Date of Birth 
Emergency Contact  Phone 
All participants must sign the race class waiver at packet pickup. No transfers no refunds.
Event Name:  Cottage Lake Tri & TriAgain, 6/19 Adult Tri Kids Tri
     
I will be participating in the following category:

Beat Your Time discount cut off Fri June 18, prices increased  $15 on 6/16, race day registration cash or check only no credit card onsite
MUST ADD $10 USAT FEE IF NOT A MEMBER
Beat Your Time1 $110 $125 Friends and Family 3 $65 $80
Elite 2$85 $100 Clydesdale  or Athena $65 $80  
Age Group $65 $80 Kids (5 to 10) $25 $40  
Relay (2 people, complete a form & pay USAT fee for each participant) $90 $105
Relay (3 people, complete a form & pay USAT fee for each participant) $120 $135
Relay Team Name
 
USA Triathlon Membership Number  
You must have a valid membership card at packet pickup or pay the one-day fee for non-members. Join at www.usatriathlon.org
I am not a member of USA Triathlon and am 19 or older.  I am including a one-day membership fee of $10.  ($20 for Beat Your Time)
I am not a member of USA Triathlon and am 18 or younger.  I am including the membership fee (good for a year) of $5.
(Remit one-day memberships or provide USAT membership numbers for all Relay Team Members)
 
Mandatory pre-race packet pickup the night before the race.  A logistics email will be sent the week of the race.   You can also go to event details on the web.  You must bring picture ID (no ID, no packet). You cannot pick up for someone else.
 
    Check payable to: Mary Meyer Life Fitness or MMLF
Total Payment Included: T-Shirt Size   2917 24th Ave W
    Seattle, WA 98199
Questions?  Email Mary at MaryMeyerLifeFitness.com or call 206/282.3959 or visit www.MaryMeyerLifeFitness.com
How did you hear about us?    
USAT rules enforced.  This includes wearing a helmet at all times when on your bike.
1Beat Your Time: Sign up for both Tris and beat your time in the second race (6/19 & 9/11)!
2Elite: complete two super sprint tris consecutively a unique challenge that almost anyone can achieve! (swim/bike/run/swim/bike/run)
3Please provide Friends and Family names, so you can race together: