Splash, Pedal & Gasp Triathlon May 11/ 2003
Please fill in ALL the required information print out the form, sign the waiver and
 Send with payment $120.00/TEAM( cheque or money order made out to Runners Soul ) to:
Runners Soul , 2646 South Parkside Dr.
Lethbridge, Alberta, Canada T1K 0C4


Team Contact Name:




Postal Code:

Home Ph#:

Bus Ph#:


Sprint (500m,20k,5k)
Olympic (1500m,40k,10k)

Estimated Swim Timemins:secs, for entered event (sprint 500m; olympic 1500m)

Swimmer Name:

Bike Rider Name:

Runner Name:

Do You wish the Medical personnel of the Runners Soul Triathlon to be aware of any specific medical problems? Please fill in comment box:

Please take time to fill in some information the Race Announcer can use:

Are you training to compete in any other Triathlons or endurance events this year? If so what:

Other past accomplishments:

Challenges you've overcome to train & compete:

What is your goal in this Triathlon:

(Please Read , Sign and send with Entry)

AGREEMENT AND ACKNOWLEDGEMENT OF RISK I hereby agree to comply with all the rules and regulations and event instructions of the Runners Soul Triathlon and its directors. I hereby consent to receive medical treatment deemed advisable in the event of injury, accident and illness during the Runners Soul Triathlon event. I hereby agree that my entry fee will be non-refundable. In consideration of your acceptance of this race entry, I, for myself, my heirs, executors, administrators and assigns, forever waive, release and discharge any and all rights, demands, claims for damages and causes of suit or action known or unknown, that I may have against Runner's Soul and any and all participation race sponsors and supporters and directors, officers, employees and agents of such parties, for any and all injuries in any manner arising or resulting from my participating in said race. I attest and verify that I have full knowledge of the risks involved in this race, that I assume those risks, that I will assume and pay my own medical and emergency expenses in the event of accident, illness or other capacity, regardless of whether I have authorized such expenses and that I am physically fit and sufficiently trained to participate in this race.

Team Names & Signatures