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 *

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 $20 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 *

Relationship to you, birthdays during event, athletes among them

Full Name *

Mobile/Cell Phone *

T-Shirt Size - Included *

Relationship to you, birthdays during event, athletes among them

Full Name

Mobile/Cell Phone

T-Shirt - Select Size - $20

Relationship to you, birthdays during event, athletes among them

Full Name

Mobile/Cell Phone

T-Shirt - Select Size - $20

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 - $20

Name

Relationship to you

T-Shirt - Select Size - $20

Name

Relationship to you

T-Shirt - Select Size - $20

Name

Relationship to you

T-Shirt - Select Size - $20

Functions

Athlete Breakfast Friday July 30, 2021

Included in entry fee is yourself plus two crew. Extras will be charged at $30.00 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

Princeton Breakfast Monday August 2, 2021

Included in entry fee is yourself plus two crew. Extras will be charged at $20.00 per person, to be paid at registration

TOTAL Breakfast, number: (include yourself and two crew) *

Vegan

Celiac

Allergy (give details)

Vegetarian

Gluten Free

Dairy Free

Other

Awards Banquet Tuesday August 3, 2021

Included in entry fee is yourself plus two crew. Extras will be charged at $70.00 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

Links

Contact