Leon’s Canine Triathlon Application

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Email

Question Title

* 4. Phone Number (Optional)

Question Title

* 5. Preferred method of contact

Question Title

* 6. City, Sate

Question Title

* 7. Canine Name, Age, and Breed

Question Title

* 8. Have you ever swam, biked, ran or competed in a sporting event with your dog? When and where?

Question Title

* 9. Those at Leon’s Triathlon are passionate about showing gratitude for the sacrifices made by America’s heroes. How does this relate to you and your canine’s story or why is this cause important to you? (You will not be required to share this information anywhere else. It’s just for our reference.)

Question Title

* 10. Is there any equipment you need or anything we can provide to help make participating in the triathlon a possibility for you? Example: Dog pull harness, bike antenna, bungee leash, running belt, human or dog life vest (both required for swim). If you need to borrow a bike, Leo’s Mobile Bikes has graciously offered to help us make that happen.

T