Triathlon registration - Messiah University

1. Team Name:

2. What division is your team?

All Students All Employees/Spouses Students/Employees (spouses)

3. Please indicate the gender of your team members:

All Male All Female Mixed

4. Swimmer Name

5. Swimmer Age

6. Swimmer Email Address:

7. Swimmer gender:

Male Female

8. Swimmer division

Student Employee/spouse

9. Biker Name:

10. Biker Age:

11. Biker Email Address:

12. Biker gender:

Male Female

13. Biker division:

Students Employee/spouse

14. Runner Name:

15. Runner Age:

16. Runner Email:

17. Runner gender:

Male Female

18. Runner division:

Student Employee/spouse