UCCS INDOOR TRIATHLON REGISTRATION FORM

RACE DAY IS SATURDAY, NOVEMBER 5TH, 8AM

Register via snail mail (Attn: Brooke Freudenhammer) or in-person:

UCCS Recreation Center, 1820 Austin Bluffs Parkway

Name: ______

Address: ______

Age on race day: ____ Gender (circle): M F Shirt size (circle): S M L XL XXL

E-mail: ______

Please read and sign the below

INDOOR TRIATHLON – RELEASE OF LIABILITY

I understand that participating in a 5K run/walk is a potentially hazardous activity. I should not enter the event unless I am medically able to do so and have been properly trained. I assume all risks associated with running/walking this event, including, but not limited to: falls, contact with other participants, the effect of altitude and weather, traffic and course conditions, and all such risks being known and understood by me. I am aware that volunteers (whom may be called upon to provide assistance) will provide medical support at the event, including first aid to me during this event if needed. I authorize any such volunteer to assist me or perform such assistance if deemed appropriate. I understand the University of Colorado at Colorado Springs assumes no responsibility or liability with respect to my voluntary participation in this event.

Having read this release and knowing these facts and in consideration of you accepting my entry, I, myself, and anyone entitled to action on my behalf, do hereby release and discharge the University of Colorado at Colorado Springs and all of its sponsors, representatives, including volunteers, and employees of any of the aforementioned, from all claims or liabilities of any kind arising from my participation in this event. Even if that liability arises from negligence or carelessness on the part of the persons named within this waiver.

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Print Name Signature Date

INDOOR TRIATHLON – PHOTOGRAPHY RELEASE

I hereby grant permission to the University of Colorado at Colorado Springs Campus Recreation staff or external photography contractors permission to take, reproduce, use and distribute any photographs take of myself for the purpose of past, current and future Bash the Bluffs related publication, promotion, illustration, advertising or trade, in any manner or in any medium.

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Print Name Signature Date

FOR OFFICE USE ONLY (CIRCLE): $20 $25 $30 Cash Check MC VISA