Team Member Name:
                        T Shirt Size:        Choose One No Shirt Small Medium Large X Large XX Large Shirt (optional) $6.00 sizes small – large; $6.50 size X large; $7.00 size XX large

2nd Team Member Name:
                 2nd T Shirt Size:        Choose One No Shirt Small Medium Large X Large XX Large Shirt (optional) $6.00 sizes small – large; $6.50 size X large; $7.00 size XX large

3rd Team Member Name:
                 3rd T Shirt Size:        Choose One No Shirt Small Medium Large X Large XX Large Shirt (optional) $6.00 sizes small – large; $6.50 size X large; $7.00 size XX large

Team Captain Information:

                   Captain Name:

                   Captain Phone:

                             Address:

                                    City:

                                  State:

                                     Zip:

                                 Email:

Please note: To participate in the race, each team member must provide a signed release agreeing to the terms of the following conditions.

*EACH participant must provide a signature to certify the following statement (Parent must sign if runner is under 18 years old): 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 complete 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 Blacktail Triathlon, Bonneville 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 to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for legitimate purposes.

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 Waiver:        Select Yes To Waiver I understand that the release must be signed by each Team member and returned prior to participating in the event.  Print out and bring the signed waiver to pre-registration or to the event.  You  must have the form completed and turned in prior to event start.

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