1st Annual Indoor
PERSONAL INFO: Age_______
TRI for HOPE
FITNESS LEVEL :
Benefitting
17-30
Male
Competitive
Female Intermediate
DIVISIONS: Only CHECK ONE 31-40
Shirt Size*______
WAVE #
41-50
Clydesdale (men over 200lbs)
51+ Athena (Women over 150)
*T-shirts are on a first come first serve basis while supplies last *Wave start times will be emailed 1 week prior to race day.
REGISTRATION FORM
*Race day registration will be moved to 1st available time slots *Registration is nonrefundable
Contact Information Name _________________________________________________________ Phone # ___________________ Email _______________________________ Home Address___________________________________________________ City___________________________ State______________ Zip__________ Emergency Contacts Name__________________________Cell______________________________ Name__________________________Cell______________________________ Payment information $25 Member
$35 Non Member
Additional Donation $_____________________ Please make all checks payable to:
Total Enclosed
WEST ST. TAMMANY YMCA Mail to:
TRI for HOPE YMCA 71256 Francis Rd. Covington, La. 70433
100% of all entry fees and donations will be evenly distributed to the West St. Tammany YMCA Leader’s Club and Royal Family Kids. THANK YOU!
Just For Fun
Waiver must be signed or registration is void.