The Great White North Triathlon

Online Registration

To enter the The Great White North Triathlon using EventsOnline.ca please follow these steps:

Type your name and other information into the web form below and click the submit button.
MasterCard, Visa and AMEX are accepted. Your online Credit Card Transaction will be processed securely in Canadian dollars.
Confirmation of entry via this online form will be provided by email and on the confirmation page after your payment has been processed. (Payment processing takes about 16 seconds.)

ENTRY FEES	Until Sep. 30th, 2011	Until Dec. 31st, 2011	After Jan. 1st, 2012
Regular Entry	$265	$285	$305
Team Entry	$375	$375	$375
- Online registration will close at Midnight on June 15th, 2012 or when registration fills up. - Please read the rollover policy. - Note: No Refunds or Rollovers for Team entries!

MANDATORY FIELD = *

* I have read the Rules and Regulations and agree to abide by it.

* I have read the Rollover Policy and agree to abide by it.

*Select event:

*First Name:

*Last Name:

*Address:

*City:

*Province/State:

*Postal Code/Zip Code:

*Country:

*Residential Phone number:

*Work Phone number:

Fax Phone number:

*Email address:

*Confirm Email address:

*Date of Birth: Year Month Day

*Age on Race Day July 1, 2012:

*Gender:

Male
Female

Extra Carbo Dinner Tickets
@ $25.00 Cdn each: Carbo Dinner is on June 29th

Extra Award Dinner Tickets
@ $20.00 Cdn each: Award Dinner is on July 1st

If participating on a team please enter the team information below:

Team Name:

Combined team age:

Team Category:

Male
Female
Mixed

Swimmer:

Name:

Swimmer's T-shirt size:

( XXL T-shirts Add $5.00 )

Cyclist:

Name:

Cyclist's T-shirt size:

( XXL T-shirts Add $5.00 )

Runner:

Name:

Swimmer's T-shirt size:

( XXL T-shirts Add $5.00 )

*Have you competed at the GWN before? Yes
No

If you answered yes to the above question, what year(s) did you participate?:

Your Personal Best GWN Time:

Hours
:

Minutes
:

Seconds

What year was your Personal Best GWN Time:?

Is your spouse competing at the GWN 2012 race? If yes please enter the name of your spouse here:

*Will you be attending the Carbo Dinner?

This information helps us to determine the amount of food to order and gauge the size of the hall or arena to use. If you change your mind later please contact michael.gwntriathlon@gmail.com

If yes, how many team members:

*Will you be attending the Awards dinner?

This information helps us to determine the amount of food to order and gauge the size of the hall or arena to use. If you change your mind later please contact michael.gwntriathlon@gmail.com

If yes, how many team members:

Occupation:

Accomplishments:

Comments:

*How did you hear about the event?

List any medical conditions:

Promo Code:

WAIVER, RELEASE AND INDEMNIFICATION

I realize that, due to the inherent endurance nature of the sport of triathlon, participation may result in personal injury to myself. I fully accept these risks. In consideration of my acceptance of entry into this ATA sanctioned event, I agree that Triathlon Alberta Corp., it's directors, employees, volunteers, members, and sponsors shall not be liable for injuries or loss I might suffer from any such participation, unless such loss shall be caused by the negligence of any one or more of the above named whilst acting within the scope of their duties. As a participant in The GWN Triathlon, I verify that I am 18 years of age or older and that I have read and understand the above. I authorize Eventsonline.ca, on behalf of Triathlon Alberta Corp. to charge my Credit Card for the above purchase.

Check this tick box to agree to the waiver: