DECATRIATHLONWORLDCHALLENGE2008

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ENTRY FORM DECATRIATHLON WORLD CHALLENGE 2008

Swim time in 3.8 km_______________________

Name ______________________________________________________________

Address_____________________________________ City____________________

State__________________ Country________________ Zip Code ______________

Tel home____________________ Fax home_______________________________

Tel office____________________ Fax office________________________________

E-Mail ________________________________Birth date______________________

Category _______________ Sex______________ Age (on Nov 16th 2008)_________

T Shirt size (please circle): S M L XL

Best Ultra triathlon races:

_______________________________________________________________________

Waiver: I realize there are risks associated with competing in this event and in consideration of our accepting in this

entry, I, the below signed, intending to be legally bound for myself, my heirs, executors and administrators, waive

and against any persons, organizations, officials, and / or sponsors of the event that I will participate, named above,

and their representative, successors, and assigns for any and all injuries suffers by me in this event. I attest and

verify that I am physically fit and have sufficiently trained for the competition of this event. Further, I grant full

permission to any and all of the foregoing to use photographs, videotapes, motion pictures and recordings of me, or

other record of this event.

For legitimate purpose. Also, I understand that the race Director has the right to reject any entry form and

pull out any athlete from the race.

Signature_________________________ Date_________________________

PHOTO