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: 2008-09-06 19:04:57.260 Oh Shit!