Tri Goddess Triathlon Online Registration

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Parent/Guardian First Name *

Parent/Guardian Last Name *

First Name *

Last Name *

Create Password *

This will be the password for your TriSignup account.

Confirm Password *

Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender *

Male Female

Non-Binary Prefer Not to Say

Phone *

Valid formats include: 000-000-0000 or 0000000000

Street Address *

Country *

Zip Code *

City *

State *

Swim, Bike, Run

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