Monday, September 29, 2008

I'm In

Received: 2008-09-06 19:04:57.26

Online Registration: Patrick Sendera

Event: 2009 Ford Ironman Louisville
Category: Non USAT Member
Date: Sunday, August 30, 2009

Name: Patrick Sendera
Gender: M
Birthdate: 3/17/1968
Email:
Day Phone:
Evening Phone:
Address:
Orland Park IL 60467
T-shirt Size Large
Significant Personal Acheivements Chicago Triathlon
Why have you sought Ford Ironman Louisville entry? Challenge
Do you wear contact lenses? Yes
Personal Insurance Carrier
If you are a Pro, you are required to E-mail a copy of your pro card or letter from your national triathlon federation to the Ironman race office before you will be officially entered into the race. Please E-mail Louisville@ironman.com I am not a Pro
Education Masters
Country you will represent United States
Home Newspaper(s) Daily southtown
Professional or Academic honors
Family members competing in or attending the 2009 Ford Ironman Louisville event?
Interesting facts about you 1st time IM
Personal ChampionChip #
Have you ever dropped out during a race for medical reasons or received medical care during or after an event? No
Occupation Other
Please list any current or chronic medical problems which are being followed by a doctor or would impact your treatment should you require medical aid
If you are a carrier of Hepatitis B or any other infectious disease, please list
Closest Television Market to your Home (City) Chicago
Other significant triathlon accomplishments
Other athletic accomplishments and athletic background
Policy Number
Please share significant information relating to your Ford Ironman Louisville training or participation
Emergency Contact Phone
In Emergency, Contact Karen
Classification Age Group for Awards
Please list any medications you are currently taking
If you are allergic to any medications, please list them here
If your hypersensitive to insect stings or any ocean animals, please list
Please list any specific questions you have for the Ford Ironman Louisville medical personnel
Is this your first time racing in an Ironman event? Yes
If not what other Ironman races have you completed?
I would like to purchase the one day USAT license Yes
Total Cost: $560.65
View Registration History:



Oh Shit!