ROGUE RIVER TRIATHLON Triathletes in Training Registration Form

.

Each Participant has their own Registration Form.   Please fill out the fields below and check to be certain all entries are correct.
Sign in to Google to save your progress. Learn more
Are you registering for the Sprint distance (1/2 mile swim, 3 mile run, 12 mile bike ride) or the Beginner distance (1/2 mile swim, 1.5 mile run, 6 mile bike ride)? *
For safety, an adult needs to participate with any youth aged 12 and younger. Please type the name of the adult accompanying the youth. We ask that the adult also register, that way we can assign numbers. As this is a fundraising event, we ask that the adult also make a donation. If this cost is prohibitive to participating, please contact the Race Director at tarasimonson@gmail.com.
Are you participating as part of a Team? *
Required
If you are participating as part of a team, please type in the names of your team mates and which leg of the event they will be doing. We ask that all team mates register. As this is a fundraiser, we also ask that each team mate make a donation. If the cost is prohibitive to participating, please contact the Race Director at tarasimonson@gmail.com 
Have you made your DONATION on the website? *
Email: *
This is where we will send your event details
First Name: *
Last Name: *
Only last name please
City: *
State:
Mobile Number: *
SMS Text service (USD .99)  (No dashes)
Date of Birth: *
MM
/
DD
/
YYYY
Gender *
Participant's gender
Required
T-Shirt size (*) *
Commemorative T-Shirt - FREE with your Donation made on roguerivertri.com Website prior to completing this form.  To guarantee a shirt, Sign Up must be before June 1st.
Required
Waiver:       *
REQUIRED IN ORDER TO PARTICIPATE - OFFICIAL WAIVER:  I acknowledge that a Multi-Sport Event is an extreme test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss.  I HEREBY ASSUME THE RISKS OF PARTICIPATING IN THIS EVENT.  • I certify that I am capable of completing all disciplines of the event, and that I am physically fit and that I have sufficiently trained.  • I understand that there are inherent risks associated with all disciplines of the event, including, but not limited to: drowning, bicycle accidents, collisions involving motor vehicles, and physical injuries associated with extreme physical exertion.  • I understand that the swim is in fast moving water in an uncontrolled river with no lifeguards present and will be held in a navigable waterway that will be open to power boat traffic. Life jackets and swim caps are mandatory for all participants.   • I understand that there will be vehicles on the roadway while I am running and riding.   • I agree to abide by the competitive rules including the wearing of the swim cap that will be provided and my own life jacket and bicycle helmet  • I agree to run and ride in single file, except when passing other participants.   • Drafting is prohibited on the ride.  • I hereby take the following action for myself, my executors, administrators, heirs, next of kin, successors and assigns, or anyone else who might claim or sue on my behalf, and I hereby waive, release and discharge from any and all claims, losses, or liabilities for death, personal injury, partial or permanent disability, property damage, medical or hospital bills, or theft which may arise out of or relate to my participation in this event. I agree not to sue, and to hold harmless any and all persons, sponsors, property owners including Agness RV Park and Cougar Lane Lodge, volunteers, participants or government agencies for any and all claims or liabilities that I have waived, released or discharged herein.    
REQUIRED EQUIPMENT FOR YOUR SAFETY: *
For your safety the following MUST BE WORN for the relevant segment of the event:  A bright yellow swim cap we provide, your own life jacket, and your own bicycle helmet.  PLEASE BRING LIFE JACKET & HELMET WHEN REGISTERING.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy