GRANDE PRAIRIE TRIATHLON
ENTRY FORM

Last Name:____________________________________

First Name:____________________________________

Mailing Address:_______________________________

City:__________________________________________

Province:___________Postal Code:______________

Phone:___________________

Age on Jan 1/2002:_________Sex (M/F):__________

Alberta Triathlon Association/Triathlon Canada Number:__________

E-Mail Address:________________________________

Entry Fee Paid:_________T-Shirt Size(M,L,XL):______

Estimated Swim Time (IMPORTANT!!)

(500m = 20 Lengths):_______________

Category: Individual _____ Relay _____

Team Name (For Relay Teams):
_______________________________________________

*NOTE: All relay team members have to fill out individual entry forms and attach only one cheque for $60

Extra "Pig Out" tickets: $5/person $10/Family

Are you a single competitor needing members for a relay team? Call Joe @ 780-538-0432

Don't Forget to:

® Sign the Acknowledgement of Risk (on reverse)
® Enclose a cheque or money order (Payable to Grande Prairie Triathlon)

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ENTRY DEADLINE: 5:00pm Wed, May 15th
This race will be capped at 84 entries!!

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VOLUNTEERS DESPERATELY NEEDED!!

It seems our event is always in dire need of volunteers, and every year we barely scrape by to put on a safe race. PLEASE, if you have friends or family members who would be willing to volunteer, fill out their names in the area below the Acknowledgement of Risk, OR call Joe at 538-0432(W) or 831-2977(H).

All volunteers receive a snazzy t-shirt, refreshments, hot meal and are also entered for our kick-butt draw prizes!

Most of the volunteers are needed on the bike course for traffic control, and to help setup and tear down the main race site.

THANK YOU!

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, it's 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:________________________________

VOLUNTEERS

Name Phone Number

_____________________________________ ________________

_____________________________________ ________________

_____________________________________ ________________

_____________________________________ ________________

_____________________________________ ________________

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