This entry form must be sent by mail. Just fill out it copy, and send to: Jan Olesinski.

Text Box: CIRCLE APLICABLE AMOUNT


TRIATHLON   2008                          $ 45.00
FREE ENTRY (under age of 18)       $ 00.00

F - 1 TRIATHLON  2008                  $ 45.00

        
DISCOUNT     For two events            <$ 5.00>


TOTAL                        $ ………………..
               
                       (No refunds)     
Text Box:  Make Check  Payable & Mail to:  

                    Bottomless Lakes Series
                    c/o  Jan Olesinski
                    900 Mason Dr   
                    Roswell, NM  88201
Text Box: All athletes (or parents) must read and sign.  Please read carefully before signing waiver.

 In consideration of acceptance of this entry form, I, the undersigning, my family and my heirs do waive and release any and all rights or claims for damages which I may have against the City of Roswell, all sponsors, and any of their agents, representatives, assignees and race director, for any and all injuries, loss or damage suffered by me at or while traveling to and from the events of the Bottomless Lakes Series.  I verify that I am physically fit and capable of participating in this race and have sufficiently trained for the races of this Series.  I realize the possible risks in swimming/running/biking and am willing to accept the results of these risks.


Signature …………………………...………………. Date…………….……….
                                                  (Signature of Participant)

Signature …………………………...………………. Date……………..……….
                
	Parent/Guardian must sign if under 18 years old)
Text Box: ENTRY ALL EVENTS USING THIS FORM

RACE APPLICATION 2008

ENTRY FORM

BOTTOMLESS LAKES SERIES

Text Box: Work Phone
Text Box: Home Phone
Text Box: City
Text Box: State
Text Box: Zip
Text Box: Mailing Address
Text Box: First Name
Text Box:  Birth date
Text Box: T-Shirt Size (circle one)              
Text Box: Last Name
Text Box: Sex
Text Box: Age
Text Box: Division

July 12, 2008

August 23, 2008