Athlete Order Printable Form » Ultra520 Athlete Order First Name * Middle Name or Initial Last Name * Steet Address * City/District * State/Province * Zip/Postal Code * Country * Cell Number * Gender * Jacket Size - Included * X Small Small Medium Large X Large 2X Large 3X Large Date of Birth * Age on Race Day * Place of Birth * Country Representing * Occupation * Coach/Club/Team Why Did You Choose Ultra520K Canada? * Qualifying Event * Date * Result * Previous Ultra/IronDistance Event Date Result Previous Ultra/Iron Distance Event Date Result Information for our Commentator – Steve King Racing Summary (PB’s where/when - S/B/R + # of IM’s, 70.3, Oly, Sprint, Maras, I/2 maras, 10ks, Ultras, adventure races etc.) * Other hobbies/sport/personal/academic achievements/ambitions/history/awards * Any Finish-Line dedication, charities, anniversaries you want mentioned? * Sponsors Social Media Identifiers Facebook, Instagram, Youtube, Blog etc. * Any other information you would like the organisers or commentator or social media coordinator to be aware of: Crew: Indicate TC (Team Captain, you must have one) and P (Paddler, if you're providing your own).Included in entry fee is 2 (two) crew shirts. Extras will be charged at $25 per shirt to be paid at registration. Do you need to hire a paddler? * Yes No Do you need to rent a Kayak? * Yes No Full Name * Mobile/Cell Phone * T-Shirt Size - Included * X Small Small Medium Large X Large 2X Large 3X Large Relationship to you, birthdays during event, athletes among them Full Name * Mobile/Cell Phone * T-Shirt Size - Included * X Small Small Medium Large X Large 2X Large 3X Large Relationship to you, birthdays during event, athletes among them Full Name Mobile/Cell Phone T-Shirt - Select Size - $25 X Small Small Medium Large X Large 2X Large 3X Large Relationship to you, birthdays during event, athletes among them Full Name Mobile/Cell Phone T-Shirt - Select Size - $25 X Small Small Medium Large X Large 2X Large 3X Large Relationship to you, birthdays during event, athletes among them Family Members watching or who you would like mentioned: Name Relationship to you T-Shirt - Select Size - $25 X Small Small Medium Large X Large 2X Large 3X Large Name Relationship to you T-Shirt - Select Size - $25 X Small Small Medium Large X Large 2X Large 3X Large Name Relationship to you T-Shirt - Select Size - $25 X Small Small Medium Large X Large 2X Large 3X Large Name Relationship to you T-Shirt - Select Size - $25 X Small Small Medium Large X Large 2X Large 3X Large Functions Athlete Breakfast Friday July 29, 2022 Included in entry fee is yourself plus two crew. Extras will be charged at $35.00 per person, to be paid at registration TOTAL Breakfasts, number: (include yourself and two crew) * Special Dietary Requirements (insert number) Vegan Vegetarian Allergy (give details) Gluten Free Dairy Free Celiac Other Awards Banquet Monday August 1, 2022 Included in entry fee is yourself plus two crew. Extras will be charged at $60.00 per person, to be paid at registration TOTAL Banquet, number: (include yourself and two crew) * Vegan Celiac Allergy (give details) Vegetarian Gluten Free Dairy Free Other Submit
