1. education
2. graduate school
3. college

EVENT DETAILS:
Adult & Team Division (14 & up):
EVENT
TIME ALLOTTED
SWIM
7 MINUTES
TRANSITION 1
7 MINUTES
BIKE
18 MINUTES
TRANSITION 2
2 MINUTES
RUN
15 MINUTES
Youth Division: (AGES 9-13)
EVENT
TIME ALLOTTED
SWIM
5 MINUTES
TRANSITION 1
7 MINUTES
BIKE
10 MINUTES
TRANSITION 2
2 MINUTES
AWARDS & DIVISION INFORMATION:
Adult, Team & Youth Awards
Medals will be awarded to the 1st Place Male & Female in each age division. Winners will be determined by total distance traveled. Ties will be broken first by distance biked, then by distance ran. Entries will be
distributed into waves beginning at 7:30 a.m. , followed by the competitive division.
Competitive Division Awards
Medals will be awarded to the 1st Place Male & Female in each age division, as well as a prize for the overall
male and female in the competitive division. Participants in the competitive division will be awarded medals in
each age division based on the time it took to complete each leg of the race. This division is well suited for a
participant who has previously competed in a triathlon. The overall male, overall female, and overall team in this
division will receive an entry to the 2015 Hy-Vee Triathlon.
DISTANCE
SWIM
500 YARDS
TRANSITION 1
Up to 7 minutes
BIKE
10 MILES
TRANSITION 2
Up to 2 Minutes
RUN
3 MILES
Wave times/groups will be assigned on a first come/
first served basis, with non-competitive division
beginning at 7:30 a.m. If you have a preferred time/
group to compete with please contact
Heidi.Draisey@ymca-ywca.org immediately upon
registration.
Competitive division participants will begin at
approximately 10:30 a.m., or following the noncompetitive divisions.

Youth Adult Team
Competitive
Division

 Adult  Team
Team Name ______________________________________
INDIVIDUAL OR TEAM SWIMMER:
NAME______________________________________________________
____M ____ F
DOB ____________________
Age________
ADDRESS__________________________________________________
CITY___________________________
2015 Marshalltown YMCA-YWCA Annual Campaign
The Y. So Much More™
The Marshalltown YMCA-YWCA provides financial assistance to children and families who couldn’t otherwise
become members of the Y due to lack of funds. No one is denied access to memberships because of an inability
to pay. The Y provides a safe atmosphere and a wide variety of programs designed to develop healthy spirit,
mind and body. The Marshalltown YMCA-YWCA can do this because of the generosity of individuals and
businesses that contribute to the annual campaign and also with the money raised from special events including
the Hy-Vee My Y Tri.
RUN
10 MINUTES
Competitive Adult & Team Division (14 &up)
EVENT
PARTICIPANT INFORMATION
Individual
Team
Feb 20-24
$30.00
$50.00
$45.00
$65.00
ZIP_____________
E-MAIL ____________________________________________________
PHONE_____________________________________________________
T-Shirt Size: ___YM ___ YL ___S ___ M ___L ___ XL ___ XXL
COMPETETIVE PARTICIPANTS ONLY:
Please provide approximate times for the following:
500 yd swim _________10 mile bike _________5K ___________
TEAM BIKER:
ENTRY FEES:
By Feb 19
State ______________
NAME______________________________________________________
____M ____ F
DOB ____________________
Age________
ADDRESS__________________________________________________
CITY___________________________
*Add $2.00 for 2X shirt
State ______________
Pre-race meetings will be held 15 minutes prior
to every wave to cover the rules, layout of the event, and any questions from the participants.
The Race Day Director will have the final authority to remove a participant from the race for either rule
violations or physical reasons.
Indoor track is 1/12 of a mile
Keiser M3+ Indoor Cycle—race committee will establish a minimum tension for each division
Packet Pickup
Friday, February 27th 3-5 p.m.
Linda Bloom Natatorium lobby—please enter through doors on the north side of the Y.
Participants are encouraged to try out the bikes during this time and determine settings.
Race day packet pick up will begin at 7 a.m. on the pool deck.
ZIP_____________
E-MAIL ____________________________________________________
PHONE_____________________________________________________
T-Shirt Size: ___YM ___ YL ___S ___ M ___L ___ XL ___ XXL
TEAM RUNNER:
NAME______________________________________________________
____M ____ F
DOB ____________________
Age________
ADDRESS__________________________________________________
CITY___________________________
State ______________
ZIP_____________
E-MAIL ____________________________________________________
PHONE_____________________________________________________
T-Shirt Size: ___YM ___ YL ___S ___ M ___L ___ XL ___ XXL
Marshalltown YMCA-YWCA
108 Washington Street
Marshalltown, IA 50158
641.752.8658
The undersigned expressly accepts responsibility for
partication in the Hy-Vee My Y Tri Saturday, February
28, 2015. The undersigned acknowledges that the
triathlon is voluntary and that they are voluntarily
participating. It is further acknowledged that said
participation is not on behalf of the Marshalltown
YMCA-YWCA, employees, agents and representatives,
sponsors, race officials and/or volunteers. The
undersigned releases all liabilities, including all
claims, demands and cause or causes or action of
every nature affecting the undersigned which may
have or ever claim to have in connection with this
event. The undersigned agrees that the above
mentioned parties will be held harmless in the event
of accident or incident causing damage or loss of
property or injury to the undersigned. The
undersigned also gives permission to the
Marshalltown YMCA-YWCA to use without limitation
or obligation, photographs, film footage, or tape
recordings which may include my image or voice for
the purposes of promotion or interpreting Y
programs.
@MarshalltownY
LIABILITY RELEASE:
Thanks to our 2015
Presenting Sponsor:
12th Annual
MARSHALLTOWN
YMCA-YWCA
MY Y TRI
I HAVE READ THE FOREGOING RELEASE,
UNDERSTAND ITS TERMS AND FREELY AND
VOLUNTARILY SIGN THE SAME.
If I am under the age of 18, a minor, my parent or
guardian has read and freely signs the same.
__________________________________________________________________
Signature of Participant (individual/team)
Date
__________________________________________________________________
Signature of Parent/Guardian If Under 18
__________________________________________________________________
Signature of Participant (team member #3) Date
__________________________________________________________________
Signature of Parent/Guardian If Under 18
Waves will be posted online February 26th:
www.ymca-ywca.org
Return registration forms & payment to:
Marshalltown YMCA-YWCA
108 Washington Street
Marshalltown, IA 50158
PHONE 641-752-8658
FAX 641-752-3324
Questions—Contact: Heidi Draisey
2015 Hy-Vee My Y Tri
__________________________________________________________________
Signature of Participant (team member #2) Date
MARSHALLTOWN YMCA-YWCA
__________________________________________________________________
Signature of Parent/Guardian If Under 18
Team Participant NOTE
PLEASE READ!
Up to three people may be on a team.
For example: one to swim, one to bike and one
to run, or any combination.
Presented by:
February 28, 2015