Alaska IronKids Triathlon CamSur Registration

Registration Form - August 21 Triathlon » CamSur

First Name:

Middle Name:

Last Name:

Address:

City or Municipality:

Zip Code:

Birthday (MM/DD/YYYY):

Age on Race Day:

Gender:

Home Phone Number:

Mobile Number of Mother and Father:

E-mail Address of Mother or Father (1 only):

Confirm E-mail Address:

Shirt Size:

Team/Club/School:

Accomplished By:

Liability Waiver and Race Agreement

That I, Mr./Mrs./Ms.  () is accomplishing this form for and in behalf of .

In the consideration of your acceptance of his/her entry, we, intending to be legally bound, do hereby for myself/ourselves, my/our heirs, executor, and administrators, waive and release forever any and all rights to claims or damages, I/we may have against the event organizers, sponsors, volunteers, race officials, and all parties involved with this event. I/we attest to being fully trained and fit to participate and have full knowledge of the risks involved. I also give my permission for the free use of the participants name(s), photo and/or voice in any broadcast, telecast, print account or any other account in any medium of this event.

The organizers own the images of participants taken from races and are authorized to use these images in promotional materials.

Agree Disagree

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