Cinco de Mayo Splash Saturday, May 2, 2015 at 8:00 am One Mile Ocean Swim at Anaeho`omalu Bay A benefit for the ALS TDI in honor of Karen O’Riordan Kelly and The Daniel Sayre Memorial Foundation 1st Swim Race in the Triple Crown 2015 Series Prizes awarded. Must also finish the Hapuna Roughwater Swim and the King’s Swim Awards One Mile Swim – Top 2 places overall and age group male and female (Age categories: 9 & under, 10-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69 & 70 & over) Wetsuits and fins are not permitted. USA Swimming and FINA swimwear rules for open water swimming and compliant with WTC policy will apply. Registration and Check In 6:30 am – 7:30 am at the Anaeho`omalu Bay Entrance 8:00 am – One Mile Swim Special Hilton Room Rate: Kama`aina Participants are eligible for Kama`aina discount rate. Place your reservation early by calling 808-886-1234 and ask for the Kama`aina rate or book online http://www.hiltonwaikoloavillage.com/kamaaina. Subject to availability. Cinco ••••••••••••••••••••••••• de Mayo Splash Entry Form ••••••••••••••••••••••••• Last Name _________________________________________ First Name_________________________________________________ Sex (Circle One) M F Date Of Birth _________________ Age On Race Day_______________ Mailing Address ____________________________________ City______________________________ ST_____ Zip Code__________ Phone ____________________________________________ Email _________________________________________________ Entry Fees $20.00 Ages 10 & Over _________________ $15.00 Ages 9 & under _________________ $5.00 Late Fee (after Wednesday, April 29) ______________ Total Enclosed $_______________________ Please make checks payable to “Bike Works”. Mail entries to PO Box 2192, Kailua-Kona, HI 96745. Waiver — Please read the following before signing The undersigned, either being over the age of eighteen (18) years, or having the express permission of my parents and/or guardians, hereby acknowledges that I have inspected the various facilities and programs associated with the Cinco De Mayo Splash (the “EVENT”) and am fully aware of the dangers and risks of injury inherent in my participation in the Event. In consideration of the permission granted me to avail myself of the Event, I hereby release Bike Works Beach & Sports, the Hotel, its owners, Hilton Hotels Corporation, Lanpar – HTL Associates; Waikoloa Development Company; Waikoloa Beach Marriott; Waikoloa Beach Association; reason of my activities in the Event. I understand that ocean swimming or participation in the Event can be dangerous and that the Event requests that I consult with _____________________________________________________ Signature ______________________________________________________ Signature of Parent or Legal Guardian ________ Date