TRIATHLON ENTRY FORMS
STREET ADDRESS_________________________________________________ CITY_________________________________ STATE__________ ZIP____________ PHONE NUMBER _____________________ EMAIL_________________________________ Team of Individual (circle one) If individual, is this your first triathlon? YES NO I hereby for myself, my heirs, executors and administrators waive and release any and all rights and claims for damages I may have against the Chamberlain Area Chamber of Commerce, Fitness Council, the cities of Chamberlain and Oacoma, Cedar Shore Resort and any facility or individuals associated with this event for any and all injuries which may be suffered by me in connection with my participation in this event. I certify that I am in proper physical condition to participate in this event. Signature_______________________________________ Date____________________ (parent signature required if under 18 years old) (use the additional forms for group entries) -----------------------------------------------------------------------------------------
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STREET ADDRESS_________________________________________________ CITY_________________________________ STATE__________ ZIP____________ PHONE NUMBER _____________________ EMAIL_________________________________ Team of Individual (circle one) If individual, is this your first triathlon? YES NO I hereby for myself, my heirs, executors and administrators waive and release any and all rights and claims for damages I may have against the Chamberlain Area Chamber of Commerce, Fitness Council, the cities of Chamberlain and Oacoma, Cedar Shore Resort and any facility or individuals associated with this event for any and all injuries which may be suffered by me in connection with my participation in this event. I certify that I am in proper physical condition to participate in this event. Signature_______________________________________ Date____________________ (parent signature required if under 18 years old) (use the additional forms for group entries) ----------------------------------------------------------------------------------------- |
| REGISTRATION: There will be no race day registration allowed for this event. Price breaks will be given for early registration - before June 18, 2007 $25 Individual, $45 Team; June 19 - July 18, 2007 $30 Individual, $60 Team; July 19 - August 4, 2007 $35 Individual, $75 Team; August 5 - August 17, 2007 $40 Individual, $90 Team. There will be a packet pick-up Friday evening from 6:30 to 9:00 PM at Cedar Shore Resort. Race day packet pick up will be from 6:30 to 7:30 AM at American Creek. The event mailing address is c/o Steve Wahl 115 Summit Drive Chamberlain, SD 57325. |