Lake Rebecca Triathlon Online Registration

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Ages	Fee
11 - 18	$24.00
19 - 23	$36.50

Ages	Fee
8 - 18	$24.00
19 - 23	$36.50

Registrant #1

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First Name *

Last Name *

Email Address *

Confirm Email *

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

Phone *

Valid formats include: 000-000-0000 or 0000000000

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event *

Sprint

$59.00 + $4.54 SignUp Fee

($24: Ages 11 - 18)

($36.50: Ages 19 - 23)

(Group Pricing)

Super Sprint

$59.00 + $4.54 SignUp Fee

($24: Ages 8 - 18)

($36.50: Ages 19 - 23)

(Group Pricing)

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Lake Rebecca Triathlon

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Age Based Pricing for Sprint

Age Based Pricing for Super Sprint

Registrant #1

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Age Based Pricing for Sprint

Age Based Pricing for Super Sprint

Registrant #1

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