First Name:

                  Address:

                        City:

                       State:

                           Zip:

                     Gender: Choose One Male Female

               Birth Date:

  Age On Event Day:

                       Phone:

                        Email:

                         Event: Choose One Sprint Olympic

Commemorative Shirt (optional)

$6.00 sizes small – large; $6.50 size X large; $7.00 size XX large or select "No Shirt Option"

                   Shirt Size: Choose One No Shirt Small Medium Large X Large XX Large

LIABILITY WAIVER:

If the waiver is not signed the registration will not be accepted

I know that participating in a triathlon event is a potentially hazardous activity and that I should not enter and complete unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely compete the event. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants and wildlife, the effects of the weather, including cold and/or rain or snow, traffic and the conditions of the road and path, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the organizers of the Triathlon at Rigby Lake, City of Rigby, Jefferson County State of Idaho, PERSONAL BEST Performance, and all other sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event or carelessness on the part of the persons named in this waiver. Further, I grant permission

  
                                          Waiver: Choose One Yes

                                      Signature:

Parent Or Guardian If Under 18:

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