2008 Mail In Entry Form

- - - 2008 ENTRY FORM - - - Accenture Chicago Triathlon - - - 2008 ENTRY FORM - - -

Make check payable to CAPRI Events.
Send with signed entry to:
ACT/Timberline Timing • PO Box 609
Fort Collins, CO 80522-0609

NO REFUNDS OF ENTRY FEES.
US FUNDS ONLY.
Keep cancelled check as proof of payment.

Events could fill at any time.
To confirm race is open visit
www.ChicagoTriathlon.com.
YOU MUST CONFIRM
MAILED ENTRIES AT
www.ChicagoTriathlon.com

NOTE 1: $25 CHARGE TO CHANGE EVENT OR DIVISION. NO DIVISION CHANGES AFTER 7/1/08. NO EXCEPTIONS.

NOTE 2: $25 CHARGE TO TRANSFER AN ENTRY TO ANOTHER INDIVIDUAL. NO TRANSFERS AFTER 7/1/08. NO EXCEPTIONS.

OFFICE USE ONLY

THIS FORM MAY
BE COPIED.

FIRST NAME

LAST NAME

USA Triathlon Membership or Permit required to participate in the Accenture Chicago Triathlon. For USAT information visit www.USATriathlon.org.

STREET ADDRESS

I will be a current USAT member on race day. I will show my card at
race packet pick-up. My 6 digit member number is:__ __ __ __ __ __.

CITY

ZIP

I will contact USAT and become a new member by race day and will
provide my member number & show my card at race packet pick-up.

Age on
Race Day:

Birth
Date:

Sex:

I do not wish to join USAT and will pay the indicated race entry fee that
includes the single-event permit fee of $10.

Technical Shirt Size:

Number of Past Triathlons: _____ Number of Past Chicago Triathlons: _____

ChampionChip
Timing:

I will supply my
own chip. CODE:

Longest Distance to Date:

Sprint

International

1/2 Ironman

Ironman

Work Phone: ( ) Home Phone: ( )

Company:

E-mail:

Occupation:

Emergency Contact Name: Relationship: Phone: ( )

Medical problem. Please attach explanation.

Purchase Accenture Chicago Triathlon Race Gear:

I want to purchase the Custom ChampionChip and have included $39.00 with my entry. [ For more information see the Tri Gear Page ]

I want to purchase the Custom Chip Strap and have included $5.00 with my entry (strap will be in your race packet at expo).

Leukemia & Lymphoma Society Contribution:

I have included my tax deductible donation to the Leukemia & Lymphoma Society of America in the amount of:

$10

$20

$50

Other _______

Half-Price Subscription to Triathlete Magazine:

YES! Send me one year (12 issues) of Triathlete Magazine. I've included the 55% off subscription payment of just $26.95 with my race entry fee.
Good on new subscriptions OR for renewals.

PLEASE CHECK ONE	Registration Fee 10/1 to 12/31	Registration Fee 10/1 to 12/31	Registration Fee 1/1 to 4/1	Registration Fee 1/1 to 4/1
Sprint Distance (.75k Swim - 22k Bike - 5k Run)	USAT Member	Non-USAT Member	USAT Member	Non-USAT Member
Open/Age Group	$125	$135	$145	$155
Mountain Bike	$125	$135	$145	$155
International Distance (1.5k Swim - 40k Bike - 10k Run)
Open/Age Group	$125	$135	$145	$155
Clydesdale / Athena	$125	$135	$145	$155
Elite Amateur Age Group	$125	$135	$145	$155
Professional Triathlete	$125	$135	$145	$155
Relay Team Competition (International Distance Only)
Price includes a one-day USAT membership for each member of team.
Open Relay Team Male Female Coed	-----	$230	-----	$250
Team Name: _______________________
Corporate Relay Team Male Female Coed	-----	$250	-----	$270
Company Name:_______________________
Triple Challenge
Includes the Fleet Feet Sports SuperSprint Triathlon, the Sprint and
International Distance of Accenture Chicago Triathlon. Must be member	$250	-----	$275	-----
of USAT to compete in this division. Info is available at USAtriathlon.org.

READ CAREFULLY BEFORE SIGNING: I acknowledge that prior to completing registration at the Expo, I will be required to show proof of identification and proof of USAT membership or receipt for a current USAT one-day permit and sign the Chicago Triathlon Acknowledgement Waiver and Release From Liability form & Event Swim Waiver form. I also acknowledge that I am aware that failure to do so at time of registration will disqualify me from competing in the event. I also acknowledge that there are no refunds. Transfer of an entry is at the discretion of CAPRI.

Signature ______________________________ Date ________

Parent's
Signature ____________________________ Date ________
If participant is under 18 as of 8/24/08 (Accenture Chicago Triathlon).

code: ACT web