Iron Rider
*ALL FIELDS ARE REQUIRED*
Team Name
*
Please use good judgment in choosing a team name. Vulgar or inappropriate team names will not be allowed
Class
*
Please Select
Ironman Open
Ironman 40+
Ironwoman
Team Number
Leave Blank - For GB Use
Rider 1 Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Rider 1 | Classification
*
Please Select
Pro
AA
A
B
C
This needs to be the Highest rider classification that you are/have competed in during 2023 and 2024 race season.
Rider 1 | Street Address
*
Street, City, Zip code
Rider 1 | City
*
Rider 1 | State
*
Rider 1 | Zip Code
*
Rider 1 | Date of Birth
*
xx-xx-xxxx
Rider 1 | Emergency Contact Name
*
Rider 1 | Emergency Contact Phone
*
Please enter a valid phone number.
Rider 1 | Bike Year
*
Rider 1 | Bike Make
*
Rider 1 | Bike Model
*
Rider 1 | Bike CC Size
*
By checking the box below I attest the following is true:
*
By checking the box below I attest the following is true:
*
Signature
My Products
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Iron Rider Registration Fee
Registration Fee
$
150.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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