REGISTRATION

Second Annual Kingdom Triathlon
Saturday, August 15th, 2009
Derby Beach House Salem Lake

(500yd swim - 13 mile bike - 5 mile run)
Registration: 7:30-8:30AM Start time: 9AM
*Age divisions for youth, men, women, and teams!

Registration Fee: $25/Individual ($5/Youth)
or $45/Team with Lunch Included!
(Minimum pledge requested $25/individual, $45/team, or $5/youth)

*Pre-register by Monday August 11th & receive a FREE T-shirt!
(Limited Space Available to first 100 entries!)

RELEASE - KINGDOM TRIATHLON

I hereby give my consent and agree to release, indemnify, and hold harmless IROC, Inc. including its staff, representatives and board members from any claim arising out of injury to me as a participant in Kingdom Triathlon. I also hold the above harmless from any claim arising out of injuries or conditions caused by or aggravated during the event or by my refusal to obtain medical treatment based upon religious philosophical beliefs or otherwise. I acknowledge that Indoor Recreation of Orleans County may compile addresses and mailing labels and may utilize photographs and videos of me and other participants and consent to such uses; I hereby waive all rights to compensation.