NEVADA IRRIGATION DISTRICT
2nd Annual Kids’ Triathlon
Saturday, May 30, 2015
LOCATION:
Orchard Springs Campground
19085 Larsen Road, Chicago Park, CA 95712
START TIME: 8:00 a.m.
DISTANCE:
• Ages 6-10
• Ages 11-15
Swim 50 meters-Bike 4 miles-run 1 mile
Swim 150 meters-Bike 4 miles-run 1 mile
ENTRY FEE: $30 until May 8th and $40 until May 29th, there will be no race day
registration. A portion of the money collected will be put towards building the
Bierwagen Interpretive Site Project at the Orchard Springs Campground.
PACKET PICKUP: Race packets will be available race morning from 7:00 a.m. to 7:45
a.m. The race will start promptly at 8:00 a.m. Be sure to give yourself plenty of
time for entrance to the park, parking and transition set-up. The entry fee into the
park is included in the race entry.
AID STATION: There will be water and electrolyte beverage available in the
transition area.
AWARDS: Each competitor will receive a t-shirt and medal.
Clinics: Located at Orchard Springs Campground
• Informational Meeting & Transition Practice – May 14th, from 5:30 to 7:00
p.m.
Any questions please email Peggy at [email protected] or call Caden at
(530) 346-2212-Orchard Springs Campground.
NEVADA IRRIGATION DISTRICT
2nd Annual Kids Triathlon Registration
Tri for Kids – 5/30/2015
No refunds!
Participant Information
First Name _______________________ Last Name ___________________________
Mailing Address: ________________________________________________________
Email Address: __________________________________________________________
Gender; __________ Birthdate: _____________ Age: _________
Phone Number: ___________________ Emergency Contact:____________________
Shirt Size: ______________________ Kids Sizing: S,M, L, XL
Mail to P.O. Box 428, Chicago Park, CA 95712 or drop off at gate at Orchard Springs. Call
or Email for entry fee amount.
Release of Liability Waiver
ALL ATHLETES MUST READ CAREFULLY BEFORE SIGNING WAIVER AND RELEASE
FROM LIABILITY. In consideration of my entry and of my own free will, I for myself, my
heirs, executors and administrators forever waive, release and give up any claims,
demands, liability damages, costs and expenses of any kind whatsoever, including
personal injuries to me or wrongful death, against NEVADA IRRIGATION DISTRICT, and
all sponsors, subcontractors and volunteers which may rise caused in whole or in part by
my or others negligence or other fault of the parties or persons I am hereby releasing by
the dangerous condition of any property or equipment owned, maintained or controlled by
them and, or by their liability without default. I AM AWARE OF ANY POTENTIAL
HAZARDS AND I FULLY UNDERSTAND THAT I AM FOREVER GIVING UP IN
ADVANCE ANY RIGHT TO SUE OR MAKE CLAIM AGAINST THE PARTIES I AM
RELEASING IF I SUFFER SUCH INJURIES OR DAMAGES EVEN THOUGH I DO NOT
KNOW WHAT OR HOW EXTENSIVE THOSE INJURIES OR DAMAGES MIGHT BE AND
AM VOLUNTARILY ASSUMING THE RISK OF SUCH INJURIES AND DAMAGE. I have
read and fully agree to the above.
____________________________ ___________________________________________
Child Signature
Parent or Guardian Signature