REGISTER ONLINE AT www.CitrusKidsTri.com MAIL-IN RACE ENTRY APPLICATION Make checks payable to: DRC Sports YOU CAN DO IT Mail to: P.O. Box 70 Inverness, FL 34451 SHIRT SIZE: ( ) YSM ( ) YMD ( )S ( )M ( )L ( ) YLG ( ) XL ( ) XXL NAME . GENDER DOB / / . ADDRESS . CITY STATE ZIP PHONE ( . ) . E-MAIL . JR DIV: SR DIV: TRI 4FUN: . . What School do you attend?  I Will Bring My Own Bike  I Will Need A Bike To Be Furnished Swim—Bike—run Are you already a member of USA Triathlon? USAT# (if any) Swim — Bike — run — Fun Last Tri Event (if any) . Citrus Kids Triathlon RELEASE WAIVER: I understand that Entry Fees are NonRefundable & Non-Transferable. In consideration of accepting this entry, I, the undersigned, intending to be legally bound, hereby, for myself, my child, my heirs, executors and administrators, waive and release any and all rights and claims for loses and damages I may have against DRC Sports, the City of Inverness, United Way of Citrus County, the sponsors of the race and/or officials of said event, volunteers, town, police, lifeguard, fire department, and their representatives, successors and assigns for any and all injuries suffered by me in said event. I attest and verify that I am or my child is physically fit and sufficiently trained for the competition of this event, and that a licensed medical doctor has verified my/their physical condition. I know that participating in this event is potentially a hazardous activity. I should not enter unless I am/they are medically able and properly trained. I agree to abide by any decisions of race officials relative to my or my child’s ability to safely complete the course. I assume all risks associated with participating in this event including, but not limited to, falls, contact with other participants, the effects of the weather, including heat and/or humidity, traffic and conditions of the road. I understand that the course is open to vehicular traffic and will compete with due care. Further, I hereby grant full permission to any and all of the foregoing to use any email, photographs, videotapes, motion pictures, recording or any other record of this event for any purpose whatsoever. I understand that I may be issued a timing chip for use during the event and that I am responsible for returning the chip after the event or agree to pay a replacement fee of $30. X ———————————————————————————————-- SIGNATURE (Parent or Guardian) Date Check # Amt: $ May 9, 2015 Register Online at www.CitrusKidsTri.com For Office Use Only Cash Open to FAMILIES WITH Kids from 5-15 years old Date 3 Exciting Divisions Junior Division (Age 5-10) Swim 75 Meters (3 Laps) Bike 1 1/4 Miles Run 1/2 Mile Junior A = Born 2007-2010 Junior B = Born 2005—2006 Awards for Top 3 Male & Female in each Age Group by Year Born Full Color T-Shirt Custom Finisher’s Medal for Every Participant Music & Dancing with FUN DeeJays Professional Event Photographer Awards for Every Age Group Great Entertainment Games & Activities for the Whole Family Snacks Pool Swim Meet with Community Leaders Lots of FUN FOR EVERYONE! Senior Division (Age 11-15) Swim 150 Meters (6 Laps) Bike 3 Miles Run 1 Mile Senior A = Born 2003—2004 Senior B = Born 2000—2002 Awards for Top 3 Male & Female in each Age Group by Year Born Tri4Fun Division (All Ages) Swim 75 Meters (3 Laps) Bike 1 1/4 Miles Run 1/2 Mile Open to Ages 5 & Up This is for Kids, Adults, Families, Anyone that wants to participate Just For Fun! NO Timing or Awards but ALL will receive a Finisher’s Medal Location: Whispering Pines Park 1700 Forest Dr. Inverness, FL 34453 Entry Fees Early Bird Received by April 13th Registration April 14th through May 6th $25 $30 Note: The Entry Fee includes the $10.00 USAT One-Day Youth License. Entry Fees are Non-Refundable & Non-Transferable Event Schedule Friday: May 8 4PM-7PM Kids Kickoff Party MANDATORY Packet Pick-up & Bike Check-In Walking Course Clinics Every Hour (4pm-5pm-6pm) Saturday: May 9 7:00 AM 7:45 AM 8:00 AM 8:20 AM 9:00 AM 9:00 AM 9:00 AM 9:45 AM 10:00 AM 10:45 AM 11:30 AM 12:00 Noon Senior Check-In Opens Pre-Race Meeting(Mandatory) Senior A Division Starts Senior B Division Starts Senior Awards Ceremony Junior Parking Access Opens Junior Check-In Opens Pre-Race Meeting(Mandatory) Junior A Division Starts Junior B Division Starts Tri4Fun Division Starts Junior Awards Ceremony REGISTER ONLINE AT www.CitrusKidsTri.com Contact: DRC Sports Email: [email protected] Phone (352) 637-2475