2024 OHSRA Triathlon Entry Form

2024 OHSRA Triathlon Entry Form

November 9th 2024 Ancaster Ag & Event Center 7pm
Name*

First NameLast Name
Phone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityProvince

Postal
Division Entry

OHSRA Junior High $25 (Gr 5-8)OHSRA High School $25 (Gr 9-12)Open $50 (no membership required)
Total Fees
You must read the following release and waiver (scroll to the bottom) before you are able to check the box.*
Signature Signature

Clear
Date of Birth*

MonthDayYear
Date
Name of Parent/Legal Guardian

First NameLast Name
I, parent/guardian of named member above understand that by signing this document I agree to the terms outlined above.
Parent/Legal Guardian Signature

Clear
Should be Empty: