ISLAY TRIATHLON ENTRY FORM: INDIVIDUAL 30THJUNE 2018@ 14:00

Swim 32 Lengths / Cycle7.5 miles / Run 2.5 miles

PARTICIPANT INFORMATION

Name
Age on 30/6/18
email
Phone
Emergency Contact on 30/6/18
Estimated swim time
Address

ENTER AN EVENT (Entry Fee has 10%discount for Triathlon Scotland Members)

SENIOR / Tick / YOUTH (Age 12-17)
Minimum school stage
S1 at 29/6/18 / Tick
Individual Male / Individual Male
Individual Female / Individual Female
Adult Individual entry - £25.00 / Youth Individual entry - £5.00

PAYMENT METHOD: Cheque, Money Order or BAC

CHEQUE or MONEY ORDER payable to:
Islay High School Expedition
Mail to:
Islay Triathlon
Islay High School
School Street
Bowmore
Isle of Islay
PA43 7LS
Scotland / BAC
Account name:
Islay High School Trip Account
Account no: 00196548
Sort Code: 831620
Reference transaction with your initials, date of birth (dd/mm/yy) followed by ‘Triathlon’
Example DS300799triathlon

DECLARATION, WAIVER, AND RELEASE OF LIABILITY:

I affirm that I am physically fit for this race and I assume all risks associated with my participation in this event, including, but not limited to, the effects of weather, traffic, course conditions and course surfaces, falls, and contacts with other runners, spectators or volunteers. In consideration of the acceptance of my entry, I hereby waive on behalf of my heirs, executors, and assigns, all claims of any nature arising from my participation in the IslayTriathlon, and do hereby release the race committee, race director, all sponsors, workers, officials, volunteers, and all triathlon charities from any claim whatsoever arising from my participation in the event and I hereby indemnify all parties against all liability, including, but not limited to liability for and in respect of all injury, death, loss or damage of checked baggage, arising from my participation in this event. If I am injured, I authorize officials or volunteers to render emergency care. I agree to abide by the rules for participation (which I have read on the triathlon website) and acknowledge that the race committee may return this entry at its discretion. I understand the risks for this race and I have trained adequately to prepare for this event. I consent to the use of photographs of me in the event for any legitimate purpose, including publicity. I realize that there is no refund and, in the event of race cancellation, my entry fee will be a donation to the Islay High School Expeditions Fund. For safety considerations, please no pets or headphones due to running and cycling on roads with traffic. Bikes must be roadworthy and bike helmet must be worn. I certify that I am an amateur triathlete.

Participant Signature
Date
Parent/ Carer Consent
( For 12-17year olds)
Date
REGISTRATION: Islay High School 1130-1200
BRIEFING: McTaggart Leisure Centre, Poolside 1345
Triathlon Organizer: Kirsten McKenzie,
Islay High School
School Street
Bowmore
Isle of Islay
PA437LS
Scotland / Email:
Facebook: Islay Triathlon
Webpage: