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Delta's 13th Annual Triathlon Relay

Saturday, April 21, 2012

Delta, BC, Canada

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Online Registration


To enter Delta's 13th Annual Triathlon using EventsOnline.ca please follow these steps:

  1. Type your name and other information into the form below and click on the submit button.
  2. Use your Visa, Mastercard or AMEX credit card to pay for your entry. The transaction will be processed securely in Canadian dollars.
  3. Once you have successfully paid for your entry, your information will automatically be added to the event database and you will be sent a confirmation email. Your name will be listed on the confirmation page Depending on your Internet connection, this process may take about 16 seconds. During this time do not click your browser's back button or stop button.
ENTRY FEES Until April 4th After April 4th INSURANCE (per person)*
Adult Relay
(Sold Out)		 $110 $125 $15 per adult
Kids Relay(Sold Out) $60 $70 $1 per child
  • Online registration will close at Midnight on April 20th, 2012.
  • All entries are non-refundable and non-transferable.
  • Note: Non members of TriBC, ATA or a Canadian Triathlon Federation must pay a $15 insurance fee for adults and $1 for kids.
  • Entry fee does include the processing fee so there is no additional charge for registering online this year.
  • for the individual registration form please click here
  • There will be no refunds processed after the close of registration

MANDATORY FIELD = *

*Select event:

For individual registration please click here.

Relay Team Category:
  • Male Relay
  • Female Relay
  • Mixed Relay
*Relay Team Name:


SWIMMER

*Last Name:
*First Name:
*Address:
*City:
*Province: Please use 2 letter abbreviation
*Postal:
*Country:
*Day Phone number:
*Email address:
(The confirmation email will be sent to this address.)
*Date of Birth: Year   Month   Day
*Age on Dec. 31st 2012:
*Gender:
  • Male
  • Female
*Are you a TriBC, ATA or Triathlon Federation member? :
  • No
  • Yes
If you answered yes, provide your membership number:
A $15 TriBC Day of Race Insurance fee will be added if no valid TriBC # is given
*Your Estimated Swim Time:
Minutes
:
Seconds
(Kids 100m, Youths 300m, Adults 700m)


Any other Tri accomplishments:
Are you are a member of a triathlon club:
How many Delta Triathlons have you participated in:


* MEDICAL QUESTIONNAIRE FOR SWIMMER
The following information is necessary to ensure proper care in the event of an accident or illness during the event.

1. List any medications.

2. List any allergies.

3. List any pre-existing conditions.

4. Other medical information.
Parent Name
If swimmer is under 18:



CYCLIST


*Last Name:
*First Name:
*Address:
*City:
*Province: Please use 2 letter abbreviation
*Postal:
*Country:
*Day Phone number:
*Email address:
*Date of Birth: Year   Month   Day
*Age on Dec. 31st 2012:
*Gender:
  • Male
  • Female
*Are you a TriBC, ATA or Triathlon Federation member? :
  • No
  • Yes
If you answered yes, provide your membership number:
A $15 TriBC Day of Race Insurance fee will be added if no valid TriBC # is given
Any other Tri accomplishments:
Are you are a member of a triathlon club:
How many Delta Triathlons have you participated in:


* MEDICAL QUESTIONNAIRE FOR BIKER
The following information is necessary to ensure proper care in the event of an accident or illness during the event.

1. List any medications.

2. List any allergies.

3. List any pre-existing conditions.

4. Other medical information.
Parent Name
If cyclist is under 18:


RUNNER


*Last Name:
*First Name:
*Address:
*City:
*Province: Please use 2 letter abbreviation
*Postal:
*Country:
*Day Phone number:
*Email address:
*Date of Birth: Year   Month   Day
*Age on Dec. 31st 2012:
*Gender:
  • Male
  • Female
*Are you a TriBC, ATA or Triathlon Federation member? :
  • No
  • Yes
If you answered yes, provide your membership number:
A $15 TriBC Day of Race Insurance fee will be added if no valid TriBC # is given
Any other Tri accomplishments:
Are you are a member of a triathlon club:
How many Delta Triathlons have you participated in:


* MEDICAL QUESTIONNAIRE
The following information is necessary to ensure proper care in the event of an accident or illness during the event.

1. List any medications.

2. List any allergies.

3. List any pre-existing conditions.

4. Other medical information.
Parent Name
If runner is under 18:
Pass code:

WAIVER

The undersigned in consideration of being permitted to participate in the Delta Triathlon hereby releases and forever discharges Triathlon British Columbia, the Corporation of Delta, the Race Sponsors, the Volunteers and all of the employees and agents from any and all liability for accident, injury or damage to person or property howsoever caused arising out of or in connection with my participating in the Race. This Release and Indemnity shall apply even if the injury or damage may have been contributed to or caused by the negligence of the above named groups or their agents. I agree to indemnify and save harmless all the above named groups and their agents from any and all damages caused by me as a result of my participation in the Delta Triathlon. I acknowledge that I am responsible for the roadworthiness and correct operation of my bicycle. I realize that I may be subject to unannounced drug testing as provided for by Triathlon Canada’s agreement with the Canadian Centre for Ethics in Sport.

Check this tick box to agree to the waiver: