2024 OHSRA Triathlon Entry Form

2024 OHSRA Triathlon Entry Form

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

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityProvince

Postal
Division Entry
Total Fees
You must read the following release and waiver (scroll to the bottom) before you are able to check the box.
Signature Signature
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
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
Should be Empty: