2015 Boulder Triathlon Training Camp registration form
Check One
 May 29-31, 2015
 June 26-28, 2015
 
 
Athlete Name 
Home town, city and state 
Phone  Cell 
Age  Gender 
A little about your camp goals 

Payment Information Visa or Mastercard Only. 
Card Name 
Card Number 
Card Expiration 
Card Billing Address 
City and State 

Camp cost:

$495.00 called in or postmarked 20 days prior to first day of camp

$545.00 called in or postmarked after 20 days prior to first day of camp

I authorize a charge to my account. Enter amount:

Signature:

Please fax registration to (303) 474-3188 or return this completed form and a check payable to: Colorado MH LLC 
  
Luis Vargas
1630 30th St. # 592
Boulder, CO 80301 

You may also fax registration and pay via phone using Visa or Mastercard at (303) 974-0471