15th Annual Castle Rock Triathlon DATE: July 24, 2010 - 8:45 A.M.
LOCATION: Castle Rock Park, County Rd Z, Friendship, WI
DISTANCES: 1/4 mile swim, 16 mile bike, and 3 mile run
RULES & INFORMATION: Click Here
Registration Form - Please Print
This form may be duplicated.
Name:__________________________ Home Phone:__________
Street:__________________________ P.O. Box:_____________
City:____________________ State:______ Zip:____________
Birthdate:________ Sex:____
Select if Applicable
___Male/Clydesdale (200 lbs. +) or __ Female/Athena (150 lbs. +)
TEAM INFORMATON
Team Name:____________________
Swimmer ________________________ Birth Date __________
Biker ___________________________ Birth Date ___________
Runner _________________________ Birth Date ___________
Ability Level: ____________________Coed______Male______Female_____
(Elite - Experienced - Beginner)
Shirt Size: S ____ M____ LG_____ XL_____ XXL_____
I hereby absolve and hold harmless the County of Adams, the township of Quincy, the Adams County Sheriff's Department, the Adams County Highway Department, the Curtis Ambulance Service, the Adams County Chamber of Commerce & Tourism, the Adams-Friendship Student Council, all sponsors and race official from any liability for any injury incurred by myself while participating in the Castle Rock Triathlon. I further provide that this consent and waiver applies to my heirs, executors and assignees. I attest and verify that I will participate in this event and my phyical condition has been verified by a licensed medical doctor. Further, I hereby grant full permission to any and all of the foregoing to use my name and any photographs, videotapes, motion pictures, recordings, or any other record of me participating in the event for any publicity and/or promotional purposes without obligation or liability law. I have read the entry information provided and certify my compliance by my signature below. I also understand entry fees I pay are non-refundable.
Signature:_____________________________________________
Parent/Guardian:_______________________________________
Please make checks payable to: Castle Rock Triathlon
Or Use the Pay Pal links below to make your payment
Send completed registration to:
Castle Rock Triathlon, P.O. Box 576, Adams, WI 53910 or email to adamsccc@maqs.net
Castle Rock Triathlon Profits go to Community Non-profit Groups & Organizations
Early registration is strongly encouraged, but late and race day registration will be accepted.
No online registrations after 1 p.m. on 7/20/10
- Individual Early Registration (before 7/10) - $45.00
- Individual Late Registration (thru 7/19) - $50.00
- Individual Late (after 7/19) - $75.00
- Race Day Registration - $75.00 - Must be paid on site.
- Team Early Registration (before 7/10) - $70.00
- Team Late Registration (thru 7/19) - $75.00
- Team Late Registration (after 7/19) - $90
- Race Day Registration - $90.00 - Must be paid on site.
This year the race will be timed with ChampionChip Timing system. All athletes will be issued a timing chip. This chip must be worn on the ankle throughout the entire race. No chip, no time. Chips must be returned after the race or the athlete will be subject to a $35 fee. Please note earlier start this year. Award Ceremony will be held at 11 am. Swim caps and bike racks will be provided.
"Click Here" for Triathlon Rules & More Information
