Registration Form

 

Check in:                               6:15-7:25 a.m.

Pre Race meeting              7:15 a.m.

Start Time:                           7:30 a.m.

 

 

Name:________________________________

 

Address:______________________________

 

City/State/Zip__________________________

 

Phone:________________________________

 

Cell #________________________________

 

E-mail:_______________________________

 

 

Gender:    M          F           Age:____________

 

 

Event Entry:

                                _________Individual

 

                                _________Team

 

                                _________Elite

 

 

Shirt Sizes:     S           M          L        XL         XXL

 

 

(Please Print)

Team Name: _______________________

 

List Team names                    Shirt size

 

1.____________________________________

 

2.____________________________________

 

3.____________________________________

 

Fee: Individual:    through June 1st: $40.00

 

                                 June 2 - July 22: $45.00

 

                                 July 23 - August 2: $65.00

 


         Team:            Through June 1st: $60.00

 

                                June 2 - July 22: $65.00

 

                                July 23 - August 2: $85.00

 

 

Checks payable to: MASC (Minnewaska Area Swim Club)

Print and send this form to:

Minnewaska Triathlon
c/o Linda Hoffmann
103 E. Ridgeview Drive
Starbuck, MN 56381
(320) 239-4800 ext. 1034
(32) 239-4972
lhoffman@minnewaska.k12.mn.us

This race is being timed by Pickle Events with ChampionChip Timing System!

All applicants must sign:

I understand that a multi-sport event such as a Triathlon is potentially dangerous activity. I should not participate unless I am medically able and properly trained. I assume any and all risks associated with participating in this event including, but not limited too: temperature, water, condition of athlete’s equipment, vehicular traffic, falls, and contact with participants, actions of volunteers, spectators and producers of the event and lack of hydration, all such risks, being known, and appreciated by me. Knowing these facts and in consideration of accepting my fee, I hereby for myself, my heirs, executors, administrators, or anyone else who might claim on my behalf covenant not to sue, and waive and release every kind of whatsoever, foreseen or unforeseen, known or unknown. The undersigned further grants full permission to the Minnewaska Community Education and Minnewaska Swim Boosters and /or its agents authorized by them, to use photographs, videotapes, recordings, or other record of this event for any other purpose.

Applications for Minors will be accepted only with Parent/Guardian signatures:

Signature:__________________________________
                 (Parent/guardian if under age of 18)

**All participants must wear a bike helmet at all times during the bike portion of the race.