The Team Race Will Include Approximatey

May 28, 2005 7:30 a.m. start at the Looking Glass Valley Park

Application fee $30.00 per team-no refunds. The triathlon will be postponed to June 11th if the river floods. Rain or shine.

The team race will include approximatey:

1.5 mile run (pavement)

2+ miles by canoe

3 miles by bike (1/2 on dirt roads, ½ on pavement)

All teams start and finish with the same partners. If conditions warrant, teams will race in heats. Teams will only have to race once.

Teams must furnish their own bikes.

Co-age teams must have one member over 18.

T-shirts for each participant.

Trophy to class winners

Two classes

Adult (both over 18)

Co-age (1 over 18/1 under 18)

Name______Name______

Address______Address______

Team Name______

Age if under 18______Age if under 18______

Shirt size xs s m l xl

As a participant of the Looking Glass Triathlon, I hereby waive, release and discharge any and all claims for damage or injury, which I may accrue as a result of participating in said program. This release is intended to release Watertown Charter Township, its employees, agents, trustees, or representatives of Watertown Charter Township and all parties included in the program, from and against all Liability arising out of or connected in any way with participation in said program. My Participation is voluntary and done at my own risk. This results in a full waver in accordance with the provisions specified above.

I have carefully read and understood everything written above.

Name of participant ______Name of participant ______

______

Signature of participant Date Signature of participant Date

______

Signature of parent or Guardian if under 18 years old Signature of parent or Guardian if under 18 years old

Please complete and sign application and send to the Township. Make check or money order payable to: Watertown Township.

Mail to: Watertown Township Parks and Rec. Dept 12803 S Wacousta RoadGrand Ledge, MI 48837