Revolutions: Triathlon Coaching
Revolutionizing your triathlon training.
 
© 2009. Revolutions: Triathlon Coaching LLC. All rights reserved.
Please fill out this form to register for the swim clinic to be held on August 22, 2010 at Trousdell Aquatic Center. There will be three separate sessions (1:00 PM, 2:00 PM, and 3:00 PM). Space is limited so be sure to register early. The fee for the swim clinic is $25. 100% of the fees paid will be donated to Chuck's MS CCSVI fundraiser (www.microgiving.com/profile/chuck). The following payment options are available:

1) Donate a minimum of $25 online at www.microgiving.com/profile/chuck .
2) Pay $25 cash at the swim clinic.
3) Pay $25 via check payable to Revolutions Triathlon Coaching at the swim clinic.
First Name:
Last Name:
Email Address:
Phone:

Preferred Swim Session Time:

Second choice for Swim Session Time:
(In case the other choices are full)

Third choice for Swim Session Time:
(In case the other choices are full)

Planned payment method:

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