HEART OF THE SOUND TRIATHLON

EARLY  REGISTRATION   FORM  (ONE FORM PER PERSON)

 

If 2004 turnout exceeds 450 competitors we may close registration!

Entrants receive priority based upon the date we receive completed registration.

You may choose to register online at either signmeupsports.com

 

 CIRCLE  ONE:             SPRINT TRI                 SPRINT RELAY                        KIDS' TRI                                  JR. / U-23  NATIONAL SERIES TRI**

 

 CIRCLE IF:                    ATHENA  /  CLYDESDALE:  39-  40+                                                           CIRCLE IF:  JR./ U-23 CAMP & CLINIC PARTICIPANT

 

CIRCLE  IF RELAY MEMBER :         OPEN DIVISION         ALL UNDER 20                       ALL 40 & OVER            CO-ED

 

 

NAME                                                                                      BIRTHDATE           /                 /                   SHIRT SIZE:           S           M            L           XL

 

ADDRESS                                                                               PHONE                (                )                               E MAIL                                                                   

 

CITY                                                                                        STATE                                                    ZIP                                                                         

 

AGE ON  8 / 21 / 2004 ________        GENDER:  M   F       RELAY: LEG                               RELAY: TEAM NAME                                                     

 

 

WAIVER RELEASE FORM: ALL PARTICIPANTS MUST SIGN THIS FORM

PLEASE READ CAREFULLY BEFORE SIGNING ACKNOWLEDGMENT, WAIVER AND RELEASE FROM LIABILITY (AWRL)

I acknowledge that a triathlon is an extreme test of a persons physical and mental limits and carries with it the potential for death, serious injury and property loss. I hereby assume the risks of participating in this event. I certify that I am capable of completing all disciplines (swim, bike and/or run) and that I am physically fit and that I have sufficiently trained. I agree to abide by the competitive rules. I hereby take the following action for my self, my executors, administrators, heirs, next of kin, successors and assigns, or anyone else who might claim or sue on my behalf, and I hereby waive, release and discharge from any and all claims, losses or liabilities for death, personal injury, partial or disability, property damage, medical or hospital bills, or theft which may arise out of or relate to my participation in this event. I agree to hold harmless any and all persons, sponsors, volunteers, participants or government agencies for any and all claims or liabilities that I have waived, released or discharged herein. I waive any rights to photo or vidio images taken at this event and agree that such images may be used for publicity or event promotion. I hereby affirm that I am 18 years of age or older, I have read this document, and I understand its contents. All participants must sign below. If less than 18 years of age, print minor's name. Parent/guardian of participating minor must sign on the signature line. A parent/guardian signature will hereby acknowledge and execute the forgoing release for and on behalf of the minor named herein. The signature(s) below will hereby authorize medical treatment for any injuries sustained during the event. It is understood thatparent/guardian assumes full risk for and on behalf of said minor.

 

 

                                                                                                                                                                                   

                print name                                                                  signature                                                                         date                                             USAT #

 

                                                                                        MAKE CHECKS PAYABLE TO:         H.O.T.S. TRIATHLON

                                                                                                     MAIL TO:          P.O.  Box  61

ENTRY FEES:                                                                                VASHON, WA   98070                                                

OPEN TRIATHLON     $ 55.            (includes 1-day USAT membership)                                                   

JR./ U-23 SERIES**            45.            (draft-legal, international rules) (clinic participants deduct $31.)                              

RELAY TEAM (total)     105.            (one check only please; only one team member pays for all)

KIDS' TRIATHLON            20.            (parent or guardian must be present during the race)                                                   

TOTAL FEES                  $  ______ (USAT members subtract an additional $9.00  MUST INCLUDE USAT#:__________________)

                                                                                                                                                                                                                                               

 

Check our website after February 15, 2004 for updated race information +  camping and lodging information for Vashon Island on race weekend.

**Registration for the camp & clinic for the Jr./U-23 National Series goes online in February 2004.  You need not attend the clinic to enter the race!

View maps, photos, aerials, and 2003 race pictures on our website: http://www.heartofthesoundtriathlon.com/ or simply search for HOTS Triathlon.

 

Want to register online?  You may register for the race of your choice at http://www.signmeupsports.com/