Firecracker Sprint Triathlon 2013

Welcome to the Firecracker Sprint Triathlon!
Race starts at 6:00 am

500 Meter Flat & Fast Swim
11 Mile Bike
5K Run

Entry Fees	Before Jun 15, 2013	Before Jun 27, 2013
Individual	$80.00	$90.00
Teams	$100.00	$110.00
Military - ACTIVE Duty only	$75.00	$85.00

ONLINE REGISTRATION CLOSES AT MIDNIGHT ON JUNE 26TH. Sign up early online! Late registration accepted at packet pick up will include a $10.00 late fee per entry. No guarantee of t-shirt for late registrations.

This is a USAT Sanctioned Race. All USAT rules apply. USAT members must provide their membership number during registration. Non-members must purchase a $12.00 1-Day USAT membership.

Cancellation & Refund Policy
Registration fees are NON-REFUNDABLE and NON-TRANSFERABLE. Once we receive and accept your entry, you will not receive a refund if you cannot participate. You may not give or sell your number to anyone else. You also may not transfer your application to the following year. If the event is cancelled due to circumstances beyond our control such an act of nature, terrorist threat, act of war, etc. there will be no refunds.

Category

Individual
Elite - Standard 5 Yr Age Men & Womens Divisions - Clydesdale & Athena Divisions
Teams
Men, Women & Mixed Relay Teams
Military - ACTIVE Duty only
Active duty military only - Must present military ID at packet pick up

Participant's Info

First Name

Last Name

Date Of Birth

Custom dropdown2

Gender

Male Female

Occupation (optional)

Custom Text 1

T-Shirt Size

Address

Address Line 1

Address Line 2

City

State/Province
Please use 2 letter abbreviation

ZIP or Postal Code

Country

Contact Info

Day Phone

Email Address

Email Address Confirmation

Emergency Contact

Emergency Phone Number

Triathlon Relay Team

Team Info

Team Name

Division

Swimmer

Swimmer Name

Swimmer Date Of Birth

Swimmer T-Shirt Size

Swimmer USAT Number

Biker

Biker Name

Biker Date Of Birth

Biker T-Shirt Size

Biker USAT Number

Runner

Runner Name

Runner Date Of Birth

Runner Shirt Size

Runner USAT Number

Agreement & Waiver

I understand and acknowledge that I am legally agreeing to the statements in the following paragraphs of this Waiver Agreement by affixing my signature below and that these statements are being accepted by USA Triathlon (hereinafter “USAT”) in consideration for (i) allowing me to become a member of USAT, (ii) issuing me a single event license or permit, and/or (iii) permitting me to participate in any USAT sanctioned event; and I further understand and acknowledge that my statements are being relied upon by race sponsors, organizers, administrators, volunteers and other parties defined below as the "Released Parties."

1. I acknowledge that a triathlon, duathlon, or other multi-sport event (hereinafter "Event") is an extreme test of a person’s physical and mental limits and carries with it the potential for death, serious injury, and property damage. I acknowledge and agree that it is my responsibility to determine whether I am sufficiently fit and healthy enough to safely participate in an Event, and I attest and certify that I am or will be sufficiently fit and physically trained to participate in any Event which I elect to enter. I have no physical or medical condition which would endanger myself or others if I participate in any Event, or would interfere with my ability to safely participate in any Event. I accept responsibility for the condition and adequacy of my competition equipment and my conduct in connection with any Event. I understand and acknowledge the dangers associated with the consumption of alcohol and/or drugs before, during and after any Event and I recognize that consumption of alcohol and/or drugs might impair my judgment and/or motor skills. I assume full responsibility for any injury, loss or damage associated with my consumption of alcohol and/or drugs.

2. On behalf of myself, my executors, administrators, heirs, next of kin, successors and assigns, and anyone else who might sue on my behalf, I HEREBY WAIVE, RELEASE, and FOREVER DISCHARGE USAT, all Event sponsors, Event producers, Event staff, administrators, officials, contractors, vendors, and organizers (including race directors), volunteers, all other persons or entities involved with an Event, states, cities, towns, and other governmental bodies and locations in which an Event or portions of an Event takes place, and the officers, directors, employees, agents, insurers, other participants and representatives of all of the above (collectively, the "Released Parties"), from any and all claims, causes of action, damages, losses (economic and non-economic), and liabilities of every kind (collectively "Claims"), for death, personal injury, or property damage, which may arise out of, result from, or relate to my participation in, or my traveling to or from, any USAT sanctioned Event, including but not limited to any Claims for theft, damage to any equipment, negligence, partial or permanent disability, Claims relating to the provision of first aid, medical care, medical treatment, or medical decisions (at an Event site or elsewhere), and any Claims for medical or hospital expenses.

3. I acknowledge and ASSUME ALL OF THE RISKS and aspects of an Event. I acknowledge that running, bicycling, swimming and other portions of an Event are inherently dangerous and I understand that I will be participating in an Event at my own risk, that I am responsible for the risk of participation in an Event, and that I am waiving and releasing my legal rights to sue for any injury or damages arising out of or resulting from my participation in an Event. I further understand that any injury or damages incurred may be the result of negligence, omission or carelessness by the Released Parties.

4. I FURTHER COVENANT and AGREE NOT TO SUE any of the Released Parties for any of the Claims that I have waived, released, or discharged herein. I AGREE TO INDEMNIFY and HOLD HARMLESS the Released Parties from any and all expenses incurred, Claims made, or liabilities assessed against them, including but not limited to attorneys’ fees and litigation expenses, arising out of or resulting from, directly or indirectly, in whole or in part, my breach or failure to abide by any part of this Waiver Agreement, my breach or failure to abide by any of USAT's Competitive Rules, and my actions or inactions which cause injury or damage to any other person.

5. I AGREE to abide by the Competitive Rules adopted by USAT and the Guide to Prohibited Substances and Prohibited Methods of Doping adopted by the United States Anti-Doping Agency. I AGREE that prior to participating in an Event I will inspect the race course, facilities, equipment, and areas to be used, and if I believe or become aware that any are unsafe, I will immediately advise the Race Director. I FURTHER GRANT to Event organizers, USAT, and their licensees the right, permission, and authority to use my name, voice, picture, or photograph, in any broadcast, telecast, commercial advertisement, promotion, or other account of an Event, and I WAIVE any rights to future compensation to which I
might otherwise have been entitled for such use.

6. The parent or legal guardian who signs the Waiver Agreement on behalf of a minor, incapacitated and/or mentally challenged person (hereinafter "Said Person"), hereby acknowledges that he or she has the legal capacity and authority to act on behalf of Said Person to legally bind Said Person to the Waiver Agreement. The parent or legal guardian who signs the Waiver Agreement agrees to indemnify and hold harmless the Released Parties for any expenses incurred, Claims made, or liabilities assessed against them, as a result of any insufficiency of legal capacity or authority to act on behalf of Said Person in the execution of the Waiver Agreement.

I have read this agreement and fully understand its terms. I understand that I have given up substantial rights by signing it, and sign in it freely and voluntarily without any inducement.

Digital Signature of Participant (Type your full name here)

PARTICIPANTS UNDER THE AGE OF 18 ARE REQUIRED TO HAVE PARENT SIGN: This is to verify that I, as a parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releases, and, for myself, my heirs, assigns, and next of kin, release and agree to indemnity and hold harmless the Releases from any and all liabilities incident to my minor child's involvement of participation in the events as provided above, even if arising from their negligence.

Digital Signature of Parent Or Guardian (only required if the participant is under the age of 18)

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