The Community Center Triathlon    APRIL 15TH 2006

Physical Address: 500 NE 11th Street

Race begins at 8 am

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REMOVE COURSE DESCRIPTION FROM ABOVE AND RETURN THIS SHEET - SIGN WAIVER/HELMET RELEASE

 

A $5.00 LATE FEE WILL BE CHARGED FOR ALL RACE-DAY ENTRIES (EVEN DSU).
MAIL-IN ENTRIES MUST BE POSTMARKED BY APRIL 11TH

 

MAKE CHECKS PAYABLE TO: THE COMMUNITY CENTER TRIATHLON

 

MAIL TO:                  ATTN: CAROL SHAVER, THE COMMUNITY CENTER

                                    820 NORTH WASHINGTON AVE.  MADISON SD 57042

 

WAIVER /RELEASE MUST BE SIGNED BY AN ADULT:

 

 

I UNDERSTAND THE RISKS ASSOCIATED WITH COMPETING IN A TRIATHLON. THESE RISKS INCLUDE, BUT ARE NOT LIMITED TO:  DROWNINGS, CRASHING, HEAD INJURIES, MUSCULOSKELETAL INJURIES,

SUDDEN HEART FAILURE, OR DEATH. I REALIZE THAT THESE RISKS INCREASE WHEN NOT USING A HELMET, BUT I WILL CHOOSE AS TO WHETHER I WILL WEAR A HELMET. MY AND /OR MY FAMILIES PARTICIPATION IS VOLUNTARY AND I HEREBY AGREE TO INDEMNIFY AND HOLD HARMLESS THE COMMUNITY CENTER, ITS AGENTS, VOLUNTEERS, AND EMPLOYEES FROM ANY AND ALL LOSS OR DAMAGES RESULTING FROM INCIDENTS OCCURRING FROM MY AND/OR MY FAMILIES PARTICIPATION.

 

I HAVE READ AND FULLY UNDERSTAND THIS WAIVER/RELEASE.

 

____________________________________________________________           ______________

Signature of participant or parent/guardian if participant is under 18.                        Date

 

 

SIGNATURE REQUIRED. ALL MINORS MUST WEAR A HELMET.

 

THE COMMUNITY CENTER TRIATHLON –SATURDAY –APRIL 15TH  2005   8 AM

 

The Triathlon starts at The Community Center pool. The pool is 25yds long, so you will be required to do 10 laps. Down and back is considered one lap and the total will be 500 yds. The participants then transition to the bikes, which will be stored to the west of the building in the Fieldhouse parking lot.

The bike route will take you south down Washington Ave to the first four way stop(Ninth Street).  At the four way stop you will make a right turn (west) onto 9th street.  You will continue west on 9th street until you reach Highway 81 (Hyland Ave). At the stop sign, you will make another right and turn north on Highway 81 for 3.5 miles. Turn around at the barrels, there will be a person there to direct you. Return south to 9th street where you will make a left and continue east until you reach the four way stop where you will make a left and turn north towards The Community Center.

            The transition for the run will be in the same area as for the bikes. When you come out of the transition area you will turn right (north on Washington Ave), you will run approximately one mile and then take the first right (15th Street NE). Continue east until you reach the turn around point, there will be another person to direct you. Return back west to The Community Center and the finish will be on your right just before the transition area.

 

 

 

REMOVE COURSE DESCRIPTION FROM ABOVE AND RETURN THIS SHEET – SIGN WAIVER/HELMET RELEASE

 

            OFFICIAL ENTRY FORM – THE COMMUNITY CENTER TRIATHLON, APRIL 15TH

 

__________________________________________                               _____________________________

NAME  (PLEASE PRINT CLEARLY)                                                        AGE ON APRIL 15TH, 2005

 

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MAILING ADDRESS                                     City                                 STATE                        ZIP

 

__________________________________________                         _________________________________

PHONE NUMBER                                                                               E – MAIL

 

DIVISION ( CHECK THAT WHICH APPLIES):

 

                            _____ MALE                                                                      _____FEMALE

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_____MEMBER ($25.00)                   _____NON-MEMBER ($30.00)         _____ DSU  (No Entry Fee)

           T-SHIRT SIZE                                    T-SHIRT SIZE                                    IF YOU WANT

           _____MEDIUM                                   _____MEDIUM                                  A T-SHIRT

           _____LARGE                                       _____LARGE                                      INCLUDE

           _____XL                                              _____XL                                             $10.00 WITH

           _____XXL                                           _____XXL                                          ENTRY

 

_____INDIVIDUAL                                                   _____RELAY (FILL OUT TEAM INFO)

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_____CLYDESDALE (MEN>200 LBS.)                  _____ATHENA (WOMEN>150 LBS)

 

                                    TEAM INFORMATION* (ALL MEMBERS MUST SIGN WAIVER):

 

SWIMMMER_______________________________BIKER _______________________________________

 

RUNNER __________________________________*FEES APPLY TO EACH TEAM MEMBER