Heart O' Dixie Triathlon Online Registration

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Registrant #1

Who are you registering? *

First Name *

Last Name *

Email Address *

Confirm Email *

Create Password *

This will be the password for your RunSignup account.

Confirm Password *

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 *

Individual

$95.00 + $6.70 SignUp Fee

(Group Pricing)

Team Captain (creates team)

$175.00 + $11.50 SignUp Fee

— Group/Team Pricing May Apply (Group Pricing)

Team Member (joins existing team)

$0.00

— Group/Team Pricing May Apply (Group Pricing)

Would you like to join or create a Group/Team?

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Heart O' Dixie Triathlon

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Registrant #1

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Choose Your Event *

Would you like to join or create a Group/Team?

Female Relay Pricing

Male Relay Pricing

Mixed Relay Pricing

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Registrant #1

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Choose Your Event *

Would you like to join or create a Group/Team?

Female Relay Pricing

Male Relay Pricing

Mixed Relay Pricing

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