Registration Form


Rock'n The Farm Triathlon and 5K Run

Please select a race.

Notes: An online registration fee per registration is included in the fee.
Online registration cut off is June 6, 2013 at 12:00 noon.
Bring your paid registration receipt with you to the race.


Enter first name. Enter last name.
Enter address.
Enter city. Enter state. Enter zip.
Enter email. Enter phone.


Cell Provider and Cell phone may used for text messaging results if offered by the race director. Select "None" if you do not have a cell phone or don't wish to provide your information.
Select provider.


Select sex. Enter age.


Additional Team Registration: For teams please enter the names of your two additional team members along with selecting a T-shirt size for each.

By submitting a team registration, ALL team members are expliciting consenting to the waiver form and language. ALL team members are expected to have read the waiver language.



WAIVER AND RELEASE. No registration without Waiver and Release agreement.



Registration payment is done through the secure PayPal shopping cart. You do not need a PayPal account to register.