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Registration Form
Second Balboa Academy Triathlon
  13 de mayo, 2007
 Balboa Academy -
Clayton

 

Ages are determined by the child's age on Dec. 31, 2007

Age Categories

Swim

Bike

Run

Children 5-7 no teams

  25 mts

1 Km.

  500 mts

Junior   8  -  9 years

100 mts

5 Km. (2L)

1 Km.  

Junior   10  -  11 years

150 mts

10  Km. ( 4L)

2 Km. 

Senior  12  -  13 years

300 mts

12  Km. (3LL)

3 Km. 

Senior  14  -  15 years

500 mts

16  Km. (4LL)

4 Km. 

Iron Teen 16 - 17 years

750 mts

20  Km. (5LL)

5 Km.

Ages 8 to 9 & 10 to 11 have a shorter bicycle course map 01.
Age 12 above will have a longer bicycle course. map 02.
L = Laps, shorter course of approx.
2.5 Km     LL= Long Laps, longer course of approx. 4 Km

The event costs $10 for individual competitors and $25 for teams.  Registration accepted until the Thursday preceding the event at 4 p.m.  Saturday before the event, registration will be accepted at Balboa Academy gym or Clayton pool between 2 and 4 p.m. with a late charge of $5 per registration.  Registration includes race numbers for runners and bikes, a swim cap (for swimmers only), and a souvenir t-shirt (for each athlete competing).  We recommend that athletes, parents, and coaches attend the pre-race briefing Saturday, May 11, before the event, at the Balboa Academy gym or Clayton pool from 4:30 to 6:00 p.m.  Race packs can be picked up at the same time.
No registrations will be accepted the day of the race. E-mail questions to Will Ostick at ba.triathlon@gmail.com

    Registration locations:
  • Promises & Treasures, Centro Comercial Golf Plaza, entre Calle 50 y Avenida Porras, Calle 74 (Omar Torrijos), Tel 270-7457.
  • UPS, planta baja de Torre MMG Frente al World Trade Center
  • Piscina de Albrook, Tel.: 315 0148.
  • Boutique Speedo, Multiplaza, tel: 302 9776.
  • Almacén Motor Sport, Tumba muerto.
  • Balboa Academy (Balboa Academy students only)
Individual

First & last Name

 

Address

 

 

Telephone or Cell

eMail

School name

Age on Dec. 31, 2007

 


Mark with circle: Male or Female

 Team (3 Athletes), All children on a team must be from the same age, category based on their ages on Dec. 31, 2007

Team Name:
________________________Receipt No./ school : ________________________

   

First & last Name

 

Address

 

Telephone or Cell

e-mail

School name
 

Age on Dec. 31, 2007

 

 

Mark with circle: Male or Female

  

First & last Name

ID Number

Address

 

 

Telephone or Cell

e-mail

School name
 

Age on Dec. 31, 2007

 

 

Mark with circle: Male or Female

  

First & last Name
 

ID Number

Address

 

Telephone or Cell

e-mail

 School name

Age on Dec. 31, 2007

 

 

Mark with circle: Male or Female

Waiver of responsibility and acceptance of risk / Please read this document carefully and sign below.

I, _______________________________________ understand and accept that the organizers, promoters, as well as the sponsors, employees, officials and volunteers and their supervisors (from now on known as "the parties absolved of responsibilities") cannot be held responsible for any type of injury, bodily harm or death, or any other damage that may occur to me or my family, inheritors or descendents, which might result from my participation in this activity, attributable to any product or by my negligence or that of a third party, including the parties absolved of responsibilities, both active and passive. I certify that the person I represent, the competitor in question, is in good mental and physical health adequate for participation in this event that he or she is not under the influence of alcohol or of any type of drug that would contradict my statement. If the participant is taking medications, I certify that I have consulted with a doctor and that I have his permission to participate while under the influence of this medication. I understand that participation in this triathlon is a strenuous physical activity and that the participant will need to undertake considerable exertion during the event and if he or she is harmed as a consequence of heart attack, hyperventilation, heat stroke or exhaustion, a collision or a traffic accident, etc, I assume the risks of those injuries and that I will not hold responsible the parties absolved of responsibility. I will check all equipment used for this competition before the event. I will not hold responsible the parties absolved of responsibility for having failed to inspect my equipment before my participation. The competitor who I represent is authorized to participate in this activity and I personally certify that I assume all risks associated with this activity for any danger, injury or damage that could occur during participation, including all associated risks whether foreseen or unforeseen. Also, I, my family, my estate, my inheritors and descendants promise not to bring claim or suit against this activity or the parties absolved of responsibilities for any type of injury, property damage or death as a consequence of participation in this activity, including any claims made during the competition or after it concludes. I declare that I am of majority age and legally competent to sign this form which is a waiver of responsibilities. I understand that this race takes place on roads, in public waters and also on private property and that obstacles and normal traffic will not be removed from said roads, waters or properties. I understand that the terms of this document are contractual and are not a simple memorandum or informational bulletin; that this instrument is a legal document of obligation and that I have signed it of my own free will.

_________________________________________________________________________
Parent's signature or coach's signature/Date

 __________________________________________________________________________
 
Additional signatures for teams