KIDS OF STEEL TRIATHLON
ENTRY FORM
Name:________________________________________
Team Name (For Relay Teams): _______________________________________________
Birthdate:_____________________________________ Age (On January
1/2002): _______
Address:_______________________________________
City:__________________________________________
Province:___________Postal Code:______________
Phone:_____________________Sex (M/F):_________
School Attending:_____________________________
T-Shirt Size (Adult Sizes): S_____ M_____ L_____
Estimated Swim Time: 50m / 2 Lengths_____ 100m / 4 Lengths_____
250m / 10 Lengths_____ 300m / 12 Lengths_____
INDIVIDUAL CATEGORY:
TEAM CATEGORY:
- o 7-10 year olds
- o 11-14 year olds
*Relay Teams - Please submit your registration forms together.
Are you a single competitor needing members for a relay team? Call Joe @ 780-538-0432
Acknowledgement of Risk
Please Read Carefully and Sign:
I acknowledge that participation in the sport of triathlon might result in personal injury to myself due to the endurance nature of the sport and the inherent risks associated with swimming, biking and running, especially on public roads. I accept these risks.
In consideration of my participation in Alberta Triathlon Association sanctioned event and training, I agree that the Alberta Triathlon Association, its directors, officers, employees, coaches, volunteers, members, and agents shall not be liable for any personal injury or loss I might suffer from any such participation, unless such loss shall be caused by the negligence of any one or more of the above named whilst acting within the scope of their duties.
Signature:______________________________________________________
Date:_______________________________
For members under 18, the following must also be signed.
As parent of the above-named child, I agree to my child participating in the sport of triathlon and have instructed my child of the risks involved and to be safety conscious.
Signature of Parent or Guardian: ____________________________________
Date:_______________________________