BCTC Splash & Dash Reg Page

2014 BCTC Splash & Dash - June 18, 2014

* Indicates required field

Registrant #1: *

First

Last

Registration #1 for: *

Kids Splash & Dash ages 8-12 Kids Splash & Dash ages 13-18 Adult Splash & Dash Socializing & Having Fun! (not racing)

Swim seeding time registrant 1: *

Age group registrant 1: *

Registrant #2: *

First

Last

Registration #2 for: *

Kids Splash & Dash ages 8-12 Kids Splash & Dash ages 13-18 Adult Splash & Dash Socializing & Having Fun! (not racing)

Swim seeding time registrant 2: *

Age group registrant 2: *

Registrant #3: *

First

Last

Registration #3 for: *

Kids Splash & Dash ages 8-12 Kids Splash & Dash ages 13-18 Adult Splash & Dash Socializing & Having Fun! (not racing)

Swim seeding time registrant 3: *

Age group registrant 3: *

*family registrations for more than 3 individuals please email membership@buckscotriclub.com

Address *

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Line 2

City

State

Zip Code

Country

Phone Number *

Email *

I am (we are) a BCTC / YMCA or local club member: *

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Club Name *

Race Distances:
Kids 8-12: 50 yrd swim & .5 mile run
Kids 13-18: 100 yrd swim & 1 mile run
Adults: 300 yrd swim & 5k (3.1 mile) run

Submit

Please click "Submit" to continue to the Registration Payment Page