Duathlon or 3K Walk Entry Form

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Date: Saturday August 3, 2024

Where: Octavia Park; Colfax, IL (parking available at pool and baseball diamonds)

Check in: 7:00 am at small pavilion by the pool; Duathlon begins at 7:30am, Walk begins at 8:00am

Cost: Duathlon: $45 ($55 after July 17) Walk: $10 ($15 after July 17)

Name *

Email *

Age (competitors in the Duathlon must be at least 12 years old or older) *

Address *

City, State, and Zip code *

Cell Phone number *

Emergency Contact and Phone Number *

Event *

Duathlon (Run 5K, Bike 20K, Run 2.5K) Cost: $45 ($55 after July 17)

3K Walk (1.9 miles) Cost: $10 ($15 after 17)

Are you competing as a team or individual? (Duathlon only) *

Team

Individual

Not applicable (walkers only)

If you are competing as a team, please list your teammates (first and last name) and who is completing each leg of the race. (Duathlon only) If you are a walker, just answer 'not applicable'. *

T-Shirt size *

Youth large

XXL

Payment Options *

Venmo: @Robyn-Jones-60

Mail check or cash to: Robyn Jones 33277 E. 1975 North Rd. Colfax 61728 (checks payable to Colfax Restoration Project)

Pay on race day at check in

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