REGISTRATION FORM 2007 ACA WWOCD National Championships (Please PRINT all information)

Note:  Men (includes all age groups); Women (includes all age groups); NA (Class not available)

            DR & Sprint Competitors Classed by age as of (07/12/07)

            (10-12), (13-15), (10-16/25), (16-18), (19-39), (40-54), (55-up)

            Proper Age group will be assigned by the Registrar

            One DR-race/day and no more than 3 Sprint races /competitor

            Hard shell helmets and U.S. Coast Guard approved PFDs are mandatory

Tuesday & Wednesday 10-11 July               (practice days for all competitors)

Thursday 12 July  Downriver                        F14                  F16                  Partners Name & Age

            OC-2 Mixed                                       

            OC-2 (10-16/25                                  NA

Friday 13 July  Sprints                                   F14                  F16                  Partners Name & Age

            OC-2 Men                                          

            OC-1 Men                                          

            OC-2 Mixed                                       

            OC-2 Women                                     

            OC-1 Women                                     

            OC-2 (10-16/25)                                 NA

Saturday 14 July  Downriver                         F14                  F16                  Partners Name & Age

            OC-1 Men; (10-12)*; (13-15)*          

            OC-2 Women                                     

Sunday 15 July Downriver                            F14                  F16                  Partners Name & Age

            OC-1 Women                                     

            OC-2 Men; (10-12)*; (13-15)*          

*  (10-12) and (13-15) age groups do not compete in the formula 14 race classes and they will be competing on a shorter course located on the Middle Yough.

Fees: Payment to: Outdoorsman Triathlon Trust

Mail to:  Ed Sharp, 14 Winslow Road, Fredericksburg, VA 22406

            (10-16) Years:                         $10      Covers all entries for the event

            All Others:  1^st Race                 $35      Includes T-shirt if postmarked by (06/19/07)

                        Each additional Race    $10

                        Three or more races     $55

Discounts:

            ACA Member                          -$5                   ACA #

TOTAL FEES ENCLOSED:

Last Name: First Name:

Address:

City: State: Zip:

Phone: e-mail:

Birthdate:                                                          Sex: