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To enter, print this
entry form, complete it and mail with a check or money order.
If you have any
problems downloading this form, contact us at:
info@rinconpr.com
Mail with a
check or money order payable to:
TRIALO RINCOENO
Mail to: Rincón Triathlon,
P O Box 512, Rincón, Puerto Rico 00677
All mail entries must be received by May 1, 2008
Note: Entry must include Participant Signature with Date or
Parent/Guardian Signature with Date and a copy of participant's Birth
Certificate, if Participant is less than 18 years
of age. The Organizing Committee reserves the right to only admit
qualified participants, who are in good health and who fully abide by the
rules of the event.
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2008 Rincón Triathlon
Entry Form |
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First Name |
MI |
Last |
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Mailing
Address: |
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City |
State |
Zip |
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E-Mail Address: |
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I am entering the (circle your
choice below) |
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Open/Elite Division |
Age Group Division |
Caribbean Cup |
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Date of Birth: Age: Circle Sex: Male
Female |
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Amount
enclosed: $ |
Home Telephone |
Work Telephone |
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Past
Participant: Yes No |
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Emergency Contact
Name and Phone: |
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T-Shirt size: Circle your choice below |
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Medium |
Large |
Extra Large |
N/A |
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Liability and
Waiver Release: |
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In
consideration of acceptance of this entry, I for myself, my heirs
and assigns, hereby release the sponsors, Rincón Triathlon, Inc.,
and any of its members, the Municipal Government of Rincón, event
sponsors and any of their employees from any and all liability
arising from illness, injuries, death or any other damages I may
suffer as a result of participation in said event. I attest that I
am physically fit and have sufficiently trained for this event which
incorporates swimming, cycling and running and I am aware that
participation in this event could result in soreness, injury or
death. I also give permission for free use of my name and picture in
any broadcast, telecast, Internet pages, or written account of this
event. Should race officials determine that completion of this event
would be injurious to my health, I consent to be removed from the
course and treated by the health professional or physician in
attendance or of their direction. I will wear an ANSI or SNELL
approved helmet at all times while I am on my bicycle and I will be
responsible for the safety of my own bicycle. IF PARTICIPANT IS
UNDER AGE 18, PARENT OR GUARDIAN MUST BE PRESENT WITH PARTICIPANT TO
PARTICIPATE. |
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Participants
Signature |
Date |
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x |
x |
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Parent/Guardian
Signature |
Date |
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x |
x |
Signature of Parent/Guardian and copy of
Birth Certificate are required if
Participant is less than 18 years of age.
Please complete all parts of the Entry Form.
Incomplete or inaccurate entries cannot be accepted. |