LAKE SAMISH TRIATHLON

A COMMUNITY EVENT

August 16, 2008

                Name:

                Phone:

                Email:

                Address:

                City:

                Zip:

                Please Check the Areas You Are Interested In:

                    Pre Race Packet Assembly:

                    Race Registration/Packet Pickup:  Saturday AM   

                    Setup Road Crew:

                    Take Down Road Crew:

                    Timing:

                    Traffic Control:

                    Start/Finish Line:

                    Water Aid Station:

                    Post Race Food:

                    Additional Information About Yourself:

                RELEASE:

                In signing this release, I acknowledge that I understand the intent there of and I hereby agree and absolve and hold harmless Total Health Events, corporate sponsors, cooperating organizations, and any other parties connected with the Birch Bay International Road Race  in any way, singularly or collectively, from and against any blame and liability for injury, misadventure, harm, loss, inconvenience or damage hereby suffered or sustained as a result of participating in the Birch Bay International Road Race or any activities associated herewith. I hereby consent to and permit emergency treatment in the event of injury or illness. Also, I give full permission for the use of my name and photograph, still or video, in connection with this event.

                By clicking the box below, you agree you have read this waiver. You understand and accept its terms.
 

                I Accept the Waiver:

Volunteer Coordinator

(360) 325-0715

info@totalhealthevents.com