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MAY 31—SEVERNA PARK, MD
600 YD SWIM—11.2 MILE BIKE—5K RUN
Website: http://ashstriclub.itgo.com
Email: ashstriclub@yahoo.com
Address:_______________________________________________
City:___________________________________________________
State:______________
Zip:______________________________
Phone:________________________________________
Email
(not required):___________________________________
Age
on Race Day:_________________________________________
Sex:______ T-Shirt Size:_______ Relay/
Individual______________
If
relay: what leg?_________________ Team
Name:______________
Estimated
Swim Time:__________________________
Estimated
Bike Time:___________________________
Estimated
Run Time:______________________________
Please
list how many multi-sport events you have done or any prior experience in any
of the disciplines (Ex: High School Cross Country)
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Are
you a USAT member?______ Member number:__________________
Expiration
date:_______________________________________________
Individual
USAT Member: $30
Individual
non-USAT member: $30 + $9 on race day for 1-day membership
Individual
Spalding student non-USAT member: $26 + $9 on race day
Spalding
student Relay: $75 + $9 for each non-USAT member
Relay:
$85 + $9 for each non-USAT member (please send all team members applications
together)
Make
checks payable to Archbishop Spalding High School.
Non-USAT
members (who are not buying annual memberships) MUST buy the 1-day membership
Spalding
students must bring Student ID
USAT
members must bring membership cards
Everyone
must bring some kind of photo ID (Spalding ID does count)
Do
you have any serious medical conditions, or are you taking medications, suffer
from allergies, especially bee stings?________ If so, please attach details on
back.
By
signing this registration, you agree to sign the standard USAT waiver and
parental consent form (if needed). You also agree to pay your non-refundable
entrance fee when you send this application in. By signing this, you are
confirming that you are attending the race. If you cannot attend, please
contact us in advance.
Signature:_______________________________________________
Date:___________________________________________________
Send
to: Archbishop Spalding High School
ATTN:
Calderone
8080
New Cut Rd.
Severn,
MD 21144