ACA Membership #__________________ (required for insurance purposes)
Relay Teams: Please include the names of all team members. If you are missing any Relay Team
members, we will try to match you up with someone looking for you as a Relay Team member.
Bike__________________________________
Run__________________________________
Paddle________________________________
Entry Fee: Please check for $15 (+ $5 for
non-ACA members-liability insurance fee)
written to "BCE" before October 13th; (OR $20 + $5 after October
13th) with this form to:
Steven A. LeBeau, DDS
6427 Broad Street
Bethesda, MD 20816-2641
(Optional tax-deductible contributions may also be written to "BCE" remembering that
all proceeds will support the facilities, programs and athletes of the BCE -- thank you!)
_______ Although I am unable to compete in this fall's Whitewater Triathlon, I wish to volunteer
to be a Timer / Registrar / Safety Boater / Photographer / Safety Guard "watching the gear" /
Course Set-up or Take-down Support (please circle preference).
_______ Include me on the mailing list for the spring Whitewater Triathlon, so I/our relay team
can qualify for the 1st Annual Ironman Triathlon.
_______ Include _______________________________________________
_______________________________________________________________
(name of company and/or
individual to contact including address, e-mail and/or phone #'s)
as a Sponsor now or in the future since over a thousand paddlers will receive these BCE
communications and may be interested in this company's service and/or products.
p.s. THANK YOU again for supporting your area's whitewater team athletes, representing
the US around the world and for helping your whitewater Olympians of tomorrow!
Contact: webmaster.
