Subaru Banff Triathlon

*Select event:

Individual Olympic
2 person Team Olympic
3 person Team Olympic

Individual Sprint
2 person Team Sprint
3 person Team Sprint

Individual or Team Captain information

Enter your provincial triathlon association membership number : Please note that a $20.00 day of race fee will be charged if a triathlon membership number is not provided.

RELAY (if on a team)

Relay Team Name:

Relay Team Category:

Male
Female
Mixed

Captain Relay Leg:

2nd Relay Member Last Name:

2nd Relay Member First Name:

2nd Relay Member Email:

2nd Relay Member Relay Leg:

2nd Relay Member TriBC or ATA membership number:

2nd Relay Member Garment Size:

3rd Relay Member Last Name:

3rd Relay Member First Name:

3rd Relay Member Email:

3rd Relay Member Relay Leg:

3rd Relay Member TriBC or ATA membership number:

3rd Relay Member Garment Size:

MEDICAL QUESTIONNAIRE

INFORMATION FOR RACE ANNOUNCER

OPTIONAL INFORMATION

RELEASE WAIVER AND INDEMNITY

I, the applicant, on behalf of myself, members of my family, my heirs, executors, administrators and assigns, hereby forever release, discharge and hold harmless LifeSport Holdings Inc., LifeSport Properties Inc. and Alberta Triathlon Association representatives and agents including without limitation event sponsors, and all other entities associated or involved in the organization or staging of the event, for any injury, loss or damage to my person or property howsoever caused, arising out of or in connection with my taking part in LifeSport Holdings Inc., LifeSport Properties Inc., Alberta Triathlon Association and activities and notwithstanding that the same may have been contributed to or occasioned by the negligence of LifeSport Holdings Inc., LifeSport Properties Inc. and Alberta Triathlon Association representatives or agents.

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.

ENTRY FEES	Until August 31st	September 1-8
Individual Olympic	$125	$150
2 person Team Relay Olympic	$145	$175
3 person Team Relay Olympic	$165	$195
Individual Sprint	$95	$110
2 person Team Relay Sprint	$115	$130
3 person Team Relay Sprint	$135	$150
Online registration will close at midnight on September 8th, 2010, or sooner when the race limit of 750 is reached. All entries are non-refundable and non-transferable. An additional waiver will have to be signed and witnessed at race package pick-up. An additional $20.00 for each participant, or $10.00 for each member of a relay team, will be charged on your entry form if a VALID ATA#, Provincial Triathlon Membership number is not provided. The price shown above does not include the GST and the online processing fee.