NEVADA IRRIGATION DISTRICT 2nd Annual Kids’ Triathlon Saturday, May 30, 2015 LOCATION: Orchard Springs Campground 19085 Larsen Road, Chicago Park, CA 95712 START TIME: 8:00 a.m. DISTANCE: • Ages 6-10 • Ages 11-15 Swim 50 meters-Bike 4 miles-run 1 mile Swim 150 meters-Bike 4 miles-run 1 mile ENTRY FEE: $30 until May 8th and $40 until May 29th, there will be no race day registration. A portion of the money collected will be put towards building the Bierwagen Interpretive Site Project at the Orchard Springs Campground. PACKET PICKUP: Race packets will be available race morning from 7:00 a.m. to 7:45 a.m. The race will start promptly at 8:00 a.m. Be sure to give yourself plenty of time for entrance to the park, parking and transition set-up. The entry fee into the park is included in the race entry. AID STATION: There will be water and electrolyte beverage available in the transition area. AWARDS: Each competitor will receive a t-shirt and medal. Clinics: Located at Orchard Springs Campground • Informational Meeting & Transition Practice – May 14th, from 5:30 to 7:00 p.m. Any questions please email Peggy at Davidson@nidwater.com or call Caden at (530) 346-2212-Orchard Springs Campground. NEVADA IRRIGATION DISTRICT 2nd Annual Kids Triathlon Registration Tri for Kids – 5/30/2015 No refunds! Participant Information First Name _______________________ Last Name ___________________________ Mailing Address: ________________________________________________________ Email Address: __________________________________________________________ Gender; __________ Birthdate: _____________ Age: _________ Phone Number: ___________________ Emergency Contact:____________________ Shirt Size: ______________________ Kids Sizing: S,M, L, XL Mail to P.O. Box 428, Chicago Park, CA 95712 or drop off at gate at Orchard Springs. Call or Email for entry fee amount. Release of Liability Waiver ALL ATHLETES MUST READ CAREFULLY BEFORE SIGNING WAIVER AND RELEASE FROM LIABILITY. In consideration of my entry and of my own free will, I for myself, my heirs, executors and administrators forever waive, release and give up any claims, demands, liability damages, costs and expenses of any kind whatsoever, including personal injuries to me or wrongful death, against NEVADA IRRIGATION DISTRICT, and all sponsors, subcontractors and volunteers which may rise caused in whole or in part by my or others negligence or other fault of the parties or persons I am hereby releasing by the dangerous condition of any property or equipment owned, maintained or controlled by them and, or by their liability without default. I AM AWARE OF ANY POTENTIAL HAZARDS AND I FULLY UNDERSTAND THAT I AM FOREVER GIVING UP IN ADVANCE ANY RIGHT TO SUE OR MAKE CLAIM AGAINST THE PARTIES I AM RELEASING IF I SUFFER SUCH INJURIES OR DAMAGES EVEN THOUGH I DO NOT KNOW WHAT OR HOW EXTENSIVE THOSE INJURIES OR DAMAGES MIGHT BE AND AM VOLUNTARILY ASSUMING THE RISK OF SUCH INJURIES AND DAMAGE. I have read and fully agree to the above. ____________________________ ___________________________________________ Child Signature Parent or Guardian Signature
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