nual 10th An Please bring an item of canned or packaged food to the Triathlon to help ISLAND HARVEST provide food to needy Long Islanders. OFFICIAL JUNIOR ENTRY FOR YOUTH AGES 8-13 The Town of Oyster Bay SUNDAY, AUGUST 24, 2014 Theodore Roosevelt Memorial Park • Oyster Bay, New York 200 Yard Swim • 2.5 Mile Bike • 1 Mile Run REGISTER ONLINE AT WWW.RUNNERSEDGETOBAYTRIATHLON.COM 1 RUNNER’S EDGE-TOBAY JUNIOR TRIATHLON APPLICATION FIRST WAVE 9:15 AM SHARP - PLEASE ARRIVE NO LATER THAN 8:00AM *MANDATORY SAFETY MEETING AT 9:00AM RULES AND REGULATIONS FOR THE TRIATHLON MEDALS TO ALL FINISHERS 1. The first wave of the Runner’s Edge-TOBAY Junior Triathlon will start in the beach area promptly at 9:15 AM. Packet pickup will end at 8:45 AM. 2. Every child must wear the brightly colored swim cap that we provide, and must wear the bib number that we provide on the front of his or her shirt. Each youngster will be timed using timing chip provided. 3. Every child must wear an approved hard or soft shell helmet at all times while on the bike, and it must be strapped before mounting and until after dismounting. 4. Water shoes or swim socks strongly encouraged for the swim. 5. Every child who finishes will receive a medal when he or she crosses the finish line. 6. Finally, and most important of all, keep in mind that this event is intended to be FUN for the children rather than a cutthroat competitive event. Please refrain from doing anything that would be inconsistent with the spirit of the event, or that would potentially jeopardize any child’s safety or potentially interfere with any child’s enjoyment of the event. Courtesy and sportsmanship should be practiced by both parents and children at all times! •Race is limited to 250 youngsters •Packet Pickup for Juniors is on Friday, August 22, 2014 from 4:00PM to 7:00PM and Sunday, August 24, 7:15 AM 8:45 AM at Theodore Roosevelt Memorial Park. No packets can be picked up after 8:45 AM! PLEASE ARRIVE EARLY! •Packets for Junior Triathlon may also be picked up at Runner’s Edge on: Tuesday, August 19 (2:00PM to 8:00PM) Wednesday, August 20 (2:00PM to 8:00PM) NO PACKET PICK UP ON SATURDAY MORNING. ENTRY FEE: $25 Pre-registered $30 Day of event Please consider adding a donation to your entry fee to support our charitable beneficiaries $________ Please make check payable to “GLIRC” and mail to: RUNNER’S EDGE-TOBAY Triathlon c/o GLIRC 101 Dupont Street, Suite 24 Plainview, New York 11803 All entries must include a COMPLETE entry form, a parentally SIGNED waiver, and a CHECK in the appropriate amount. NO ENTRY CAN BE ACCEPTED WITHOUT A SIGNED WAIVER $ RUNNER’S EDGE-TOBAY JUNIOR TRIATHLON APPLICATION- PLEASE PRINT LAST NAME___________________________________________ _FIRST NAME _________________________________________ STREET ADDRESS _________________________________________________________________________________________ TOWN _ ________________________________________________________________STATE________ ZIP__________________ PHONE ( )______________________EMAIL**(See Note Below)__________________________________________________ DATE OF BIRTH _____/_____/_____ AGE ON RACE DAY _____ SHIRT SIZE_____ SEX: MALE_ _________ FEMALE____________ **PLEASE INCLUDE YOUR EMAIL ADDRESS TO ENSURE THAT YOU RECEIVE ALL EVENT INFO IN A TIMELY MANNER!!** WAIVER, RELEASE AND INDEMNIFICATION FORM Please Read Carefully Before Signing In consideration of the acceptance of my child’s entry into the RUNNER’S EDGE-TOBAY JUNIOR TRIATHLON: 1. I hereby agree that my child will comply with all the rules and regulations of this event and to comply with the instructions of the race directors and staff. 2. For myself, my child, and for my heirs. next of kin, administrators, executors, successors and assigns, I hereby waive and release any and all claims, demands and causes of action that I might have against Nassau County, the Town of Oyster Bay, the Greater Long Island Running Club, JMS Racing Services, the Race Director, staff and volunteers, the Runner’s Edge and all other event sponsors, their employees. agents, representatives. successors and assigns, for any and all injuries and bodily harm arising out of my participation in the event and its related activities. whether or not arising out of the active or passive negligence of any one or more of such organizations or individuals. 3. I hereby acknowledge that I have sole and complete responsibility for my child’s athletic equipment and other personal possessions at all times before, during and after the event. 4. I understand that my child’s participation in this event necessarily involves the risk of personal injury. sickness and death, including but not limited to those caused by my health and physical condition, any lack of hydration, the terrain, weather conditions, vehicular and boat traffic. pedestrian traffic. and other participants in the event. I understand and accept all these and all other risks and hazards inherent in this event and its related activities. 5. I hereby attest that my child is physically fit. and has sufficiently trained for the completion of this event, and that my child’s physical condition has been verified by a licensed medical doctor or doctor of osteopathic medicine. 6. I hereby consent that my child shall receive such medical treatment which may be deemed advisable in the event of injury or illness during or after the event. 7. I hereby grant permission to the Town of Oyster Bay, the Runner’s Edge and the Greater Long Island Running Club to use any photographs, videotapes, motion pictures. recordings, and any other record of this event and my child’s participation in same for any purpose whatsoever. 8. I further certify that I have read and fully understand all of the foregoing, that I completely understand the contents of the foregoing. and that I am voluntarily consenting thereto. ENTRANT’S NAME:_______________________________________________ PARENT’S NAME:_ _______________________________________________ PARENT’S SIGNARURE:____________________________________________ *** WAIVER MUST BE SIGNED BY PARENT!*** REGISTER ONLINE AT WWW.RUNNERSEDGETOBAYTRIATHLON.COM Instruction in all elements of the triathlon: • swimming • • biking • • running • • transition • Program Director: DEBORAH BLAIR - Chief Administrator and Head Coach of Nassau County’s Run Smart and Run Start Training Programs, USA T&F Level 1 certified coach COACHES: • NANCY LIPIRA - Race Director of Jr. Triathlon, swim coach and multi-time Ironman finisher • BOB COOK - multi-time Ironman Triathlon finisher • BARBARA STAGNARI - Multi-time Ironman Triathlon finisher, and experienced swimming and USA Triathlon Coach DEBORAH • JILL LOVELAND - Certified lifeguard, swim coach and triathlete BLAIR • MINDY DAVIDSON - Experienced triathlete and administrator • ED MELNIK - Experienced USATF running coach er’s Edge TOBAY R un n An orientation session followed by six training sessions for youth ages 8 through 13 conducted every Saturday afternoon (4:30 PM to 6:00 PM) from July 12th through August 16th All training sessions at Theodore Roosevelt Memorial Park, 2 Shore Avenue, Oyster Bay. The participants will learn correct form in swimming, biking and running, proper nutrition, hydration, proper footwear, apparel, bike accessories, etc., and the importance of training in an educational and FUN setting. All participants must be able to swim 25 yards unattended and be able to ride a 2 wheel bike comfortably. Training Program will lead up to participation in the Runner’s Edge-TOBAY Junior Triathlon on Sunday, August 24th Training Program FOR MORE INFORMATION: Call Greater Long Island Running Club at (516)349-7646 Program Fee: $25 for the entire Training Program. Make checks payable to “GLIRC” Space is limited! There is a separate entry fee for the Runner’s Edge-TOBAY Junior Triathlon . You can register at runnersedgetobaytriathlon.com ENTRY FORM – TOWN OF OYSTER BAY JUNIOR TRIATHLON TRAINING PROGRAM Please fill in this form and return it with your $25 check to GLIRC, Att: Junior Tri, 101 Dupont Street, Suite 24, Plainview NY 11803 LAST NAME__________________________________________ FIRST NAME__________________________________________________ STREET ADDRESS______________________________________ TOWN____________________________________ ZIP_____________ PHONE ( ) _______________________________________ email____________________________________________________ DATE OF BIRTH ___________________ AGE (as of 6-24-14)__________________ SEX_________________ WAIVER, RELEASE AND INDEMNIFICATION FORM (PLEASE READ CAREFULLY BEFORE SIGNING): In consideration of the acceptance of my child’s entry in the Program, for myself, my child, and for my heirs, next of kin, administrators, executors, successors and assigns, I hereby waive and release any and all claims, demands, and causes of action that I might have against the Town of Oyster Bay, the Greater Long Island Running Club, their employees, agents, and volunteers, for any and all injuries and bodily harm arising out of my child’s participation in the Program, whether or not arising out of the active or passive negligence of any one or more said organizations or individuals. I hereby consent that my child shall receive such medical treatment wgich may be deemed advisable by the program staff in the event of injury or illness during the course of the Program. I hereby grant permission to the Town of Oyster Bay and the Greater Long island Running Club to use any photographs, videos, motion pictures, recordings,and any other record of the program and my child’s participation in same for any purpose whatsoever. PARENT’S NAME_____________________________________________________________________ PARENT’S SIGNATURE_________________________________________________________________ DATE________________________ 3 REGISTER ONLINE AT WWW.RUNNERSEDGETOBAYTRIATHLON.COM