Palm Springs IM Clinic Entry Form
March 11-13, 2005 • Palm Springs, CA

Lead Coaches: Dave Scott and Scott Molina
Associate Coaches: Gordo Byrn, Kevin Purcell and Mitch Gold

The Clinic will have an Ironman focus and is also appropriate for Half Ironman athletes. The Clinic date falls one week out from the California Half Ironman and four weeks out from Ironman Arizona.

This camp is open to all levels, but will be tailored to athletes that have completed at least one season of Ironman training.

Camp fee is $499.00.
Fee does not include accommodations. The host hotel is the Palm Mountain Resort. Reservations must be made prior to February 11, 2005. Please mention you are with the Palm Springs IM Clinic to receive the discounted rate. Call toll free: 1.800.622.9451.

First Name: __________________________________________________

Last Name: ___________________________________________________

Address: _____________________________________________________

City: ___________________________________ State/Province: ________

Zip/Postal Code: _____________ Country: __________________________

Phone No: ____________________________________________________

Email Address: ________________________________________________

Upcoming Ironman races: _______________________________________

Previous Ironman finish times, including splits: ______________________

_____________________________________________________________

Goals for your 2005 season: _____________________________________

_____________________________________________________________

Please print out and mail this form along with check or money order in US funds, payable to Gordo Byrn, at: 3603 Roundtree Court, Boulder, CO, 80304 USA.

CANCELLATION POLICY: One month prior to clinic, full refund except for a $50 administration fee. At one month out, a 50% refund, unless we fill the slot from the waiting list, then only a $50 administration fee. No refund at two weeks prior to the event.