Olympic Individual

Name *
Gender *
      
Birth Date *
    

Age as of December 31st of race year:

Age on Dec 31 *
Address *
Phone *
Email *

EMERGENCY CONTACT

Emergency Contact Information *

RACE INFORMATION

Select Individual Race Category *
                    
Do you have a USAT Membership? *
    
Enter USAT Membership Number Below
Purchase 1 Day USAT Olympic Membership *
    
T-Shirt Size *
                              
                        
Is this your first Triathlon *
    
Number of prior Leon Triathlons *
            

ADDITIONAL OPTIONS

Packet Pick Up *
    
Coupon Code
Generic *
USAT Waiver *