KOAKaiTRI_FLYR - Marine Corps Community Services Hawaii

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