OPEN TO THE PUBLIC 20 15 Sunday, May 3 6:30 AM • Starts at Hangar 103 (Ramp Area) 500-Meter Swim / 11.1-Mile Bike / 5K Run Individuals $50 Military/$60 Civilian • 3-Person Relays $70 Military/$90 Civilian For more info call 254-7590 REGISTER & PAY ONLINE! (Online Registration Closes Apr 28] www.mccshawaii.com/races SEMPER FIDELIS MARINE CORPS BASE HAWAII No USMC or Federal Government endorsement of sponsors. Koa Kai Sprint Tri Check in At 5:00 AM at Hangar 103 ramp area. Safety brief begins at 6:15 AM. The event begins at 6:30 AM. TRIATHLON 500-Meter Swim + 11.1 Mile Bike Race + 5-Kilometer Run-Participants may enter individually, or as a three-person relay team. For the relay team: one person swims, one bikes and one runs. Cyclist cannot start until tagged by the swimmer in the transition area. Runner cannot begin until tagged by the cyclist. This event is open to the public, military, DoD civilians and their dependents (all non-military participants must be 18 years or older), or have parent or legal guardian’s signature for authorization. FEES & REGISTRATION Individuals: $50 Military, $60 Civilian • Triathlon Teams of Three: $70 Military, $90 Civilian • Late fee of $10 assessed for registration after Apr 24, 2015. Price includes race T-shirt, bib #, timing chip and finisher medal for all participants. No shirt or finisher medal guaranteed, if paid after Apr 24, 2015. Online payment and registration is available until Apr 28 at mccshawaii.com/races Make checks payable to MCCS 0910. Walk-in registration is accepted at the Semper Fit Center reception desk, Bldg 3037. Call 254-7590 for more information. PLEASE PRINT CLEARLY IN INK & COMPLETE FULLY PACKET PICK-UP Pick up will be held at MCBH front gate for civilians on Thu, Apr 30 from 12:00 pm - 5:00 pm. Semper Fit Center MCBH for military Fri, May 1 from 9:00 am to 4:00 pm. Packets may also be picked up the morning of the race starting at 5:00 AM. SAFETY Safety is our #1 concern. Road guards and medical personnel will be posted at various points throughout the racecourse. Participants are responsible for their own physical condition. Participants’ bikes must pass a safety inspection. Inspections will be held at the bike staging area, by the transition area. They will be provided from 4:30 AM-6:00 AM prior to the start of the race. Bicycle helmets must be worn by all cyclists. Bicycle repair kits are highly recommended. Participants must know the race route ahead of time. Swim fins & snorkels are not authorized for swim portion. AWARDS Custom medals for top 3 male/female in each category • 15-19, 20-29, 30-39, 40-49, 50+ • Top relay team • Top 3 finishers overall receive custom-made locally made trophies ENTRY FORM (S-XL) INDIVIDUAL NAME_________________________________________________________ PHONE_____________________GENDER____Birthdate_________________ SHIRT SIZE*_______ SWIMMER______________________________________________________________ PHONE_____________________GENDER____Birthdate_________________ SHIRT SIZE*________ CYCLIST________________________________________________________________PHONE_____________________GENDER____Birthdate_________________ SHIRT SIZE*_______ RUNNER________________________________________________________________PHONE_____________________GENDER____Birthdate_________________ SHIRT SIZE*________ EMAIL:____________________________________________ DRIVERS LIC#__________________________________(needed for all non-military participants) $50 Military $60 Civilian RELAY $70 Military ENTRY FEE: INDIVIDUAL $60 Military $70 Civilian RELAY $80 Military L ATE ENTRY FEE (after Apr 24):INDIVIDUAL $ NUMBER OF EXTRA T-SHIRTS @ 10 EACH (ALL ADULT SIZES): S___ M___ L___ XL___ TOTAL ENCLOSED $_______________________ MAKE CHECKS PAYABLE TO: MCCS 0910 All checks must have Name, Current Address and Two Phone Numbers MAIL TO: MCB HAWAII • BOX 63073 • KANEOHE BAY, HI 96863-3073 • ATTN: ATHLETICS/FITNESS MCBH MAJOR COMMAND: HQBN CPRW2 HSM-37 3D MARINES CAMP SMITH 1/12 MCAS 3D RADIO BN MAG-24 CLB-3 HOLD HARMLESS AND WAIVER OF LIABILITY AGREEMENT $90 Civilian Civilian $100 OTHER______________________ In consideration for me and/or my son/daughter to participate in the Marine Corps Community Services (MCCS) Koa Kai SPRINT TRI at Marine Corps Base Hawaii, Kaneohe Bay (hereinafter called event), I hereby take the following actions for myself or anyone else who might claim or sue on my behalf: (a) I acknowledge that the event includes running activities and is an arduous test of a person’s physical and mental limits and carries with it the potential for death, collision, serious injury and property loss; (b) I acknowledge that certain detrimental physiological changes may occur while I participate in the event, including but not limited to heat exhaustion and stroke; abnormal heart beat; abnormal blood pressure; and, in rare instances, heart attack; (c) I acknowledge that there may be other participants in the event and that their actions may be unpredictable; (d) I certify that I am physically fit and have not been advised against participation in the event by a qualified health professional; (e) I agree that, prior to participating in the event, I will inspect the event facilities, equipment, and areas to be used and if I believe any are unsafe, I will immediately advise a person supervising the event; (f) I assume all risks associated with the event, including, but not limited to adverse road conditions; falls; contact with other participants, effects of weather, my personal physical condition; motor vehicles on the event course; and lack of hydration; and (g) In connection with the event, I forever release from all liability under the Federal Tort Claims Act, acquit and discharge from all known obligations, losses, damages, liabilities, injuries, claims, demands, actions, causes of action and expenses, including without limitation, attorney’s fees and costs, the following persons or entities: United States Government including MCCS and the United States Marine Corps, and the employees, representatives, sponsors and agents of the above. (h) I further grant full permission to the United States Marine Corps and Marine Corps Community Services to use any photographs or media taken by MCCS of me (or my child) for any purposes. I understand that I do not own the images and no further payments are due to me in regards to them. Individual/Swimmer Signature Date Cyclist Signature Date Date Parent/Guardian Signature Date Runner Signature
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