Loop de Lori Triathlon & 5k
September 9th, 2023
Full Name
*
First Name
Last Name
Phone Number
*
Email Address
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age
*
Male/Female
*
Male
Female
Shirt Size
*
Please Select
Extra Small
Small
Medium
Large
XL
2XL
3XL
Race Category
Choose One
*
Triathlon Youth (age 12-16)
Triathlon Female (49 and under)
Triathlon Female (50 and over)
Triathlon Male (49 and under)
Triathlon Male (50 and over)
2 Person Team Triathlon
3 Person Team Triathlon
4 Person Team Triathlon
5K Run/Walk
Team Registration
**For 2 - 4 person teams. Skip if you are signing up in an individual race category**
Team Name **Must Enter A Team Name
2) Racer #2 Name
First Name
Last Name
2) Racer #2 Email
example@example.com
2) Racer #2 Phone Number
Racer #2 Shirt Size
Please Select
Mens Small
Mens Medium
Mens Large
Mens XL
Mens XXL
Womens Small
Womens Medium
Womens Large
Womens XL
Womens XXL
3) Racer #3 Name
First Name
Last Name
3) Racer #3 Email
example@example.com
3) Racer #3 Phone Number
Racer #3 Shirt Size
Please Select
Mens Small
Mens Medium
Mens Large
Mens XL
Mens XXL
Womens Small
Womens Medium
Womens Large
Womens XL
Womens XXL
4) Racer #4 Name
First Name
Last Name
4) Racer #4 Email
example@example.com
4) Racer #4 Phone Number
Racer #4 Shirt Size
Please Select
Mens Small
Mens Medium
Mens Large
Mens XL
Mens XXL
Womens Small
Womens Medium
Womens Large
Womens XL
Womens XXL
Payment
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5K (Fun Walk/Run)
$
30.00
5K Timed
$
35.00
Triathlon
$
50.00
Triathlon (2 Person Team)
$
100.00
Triathlon (3 Person Team)
$
150.00
Triathlon (4 Person Team)
$
200.00
Donation
$
20.00
$20
$50
$100
$500
Credit Card
Submit
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