The ROC Triathlon Online Registration

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Registrant #1

Who are you registering? *

First Name *

Middle Name/Initial

Last Name *

Email Address *

Confirm Email *

Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender *

Male Female

Phone *

Valid formats include: 000-000-0000 or 0000000000

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event(s) *

Would you like to join the following club: Rochester Area Triathletes?

As a club member, you will receive a 20% discount on event fees.

I want to join club “Rochester Area Triathletes”.

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The ROC Triathlon

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Registrant #1

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Choose Your Event(s) *

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Would you like to join the following club: Rochester Area Triathletes?

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