Individual Registration

Please complete this form for online registration of the 2019 Outdoorsman Triathlon. After completion of the form you will be redirected to Paypal for payment. The payment is $25.00 for individual. If you need help in any entry field double click in that field for the help. To guarantee a competitor shirt get your entry in by September 10^th.

First Name^*

Enter your first name.

Last Name^*

Enter your last name.

Street Address^*

Enter you street address.

City^*

Enter the city/town you live in.

State^*

Enter the state you live in.

Zip Code^*

Enter your zip code.

Email^*

Enter your email address.

Age^*

Enter you age.

Local Newspaper Email

Enter your local newspaper email address if you know it.

T-Shirt Size^*

Enter your T-Shirt Size

Individual Race Gender^*

Select your gender.

Canoe Type^*

All canoes must be of ABS and conform to the 16% rule; the width of the canoe at the 4 inch waterline must be at least 16% of the canoe length. Generally any unmodified commercial ABS canoe will satisfy this requirement. However, some such as the Dagger Sojourn do not meet this requirement. If you have questions regarding your canoe contact Ed Sharp 540-752-5400 or edsharp14@gmail.com

Payment^*

Payment is $25.00 for Individual.

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