Registration Form USAT Duathlon/Triathlon Boot Camp Boulder, CO August 17-20, 2006

Name
Address
Phone		Cell
Age		Gender

USAT membership #:
Expiration date:
(For insurance purposes, all camp attendees must be either an annual member of USA Triathlon at the time of the camp, or purchase a USAT one day license for $9.  Annual members must bring their annual license to the camp. )
Camp cost: $495.00 postmarked by 7/31/06 $545.00 postmarked after 7/31/06
Please return this completed form and a check payable to Duathlon.com to :
Eric Schwartz 1360 Sumac Ave Boulder, CO 80304