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This form contains a USAT Sanctioned event. You must either purchase a membership or enter your pre-purchased member number below. Purchasing a membership will take you to the USAT website to complete a separate transaction.
Entry fee (Individual)
$80.00 Team Entry Fees (Per Person)
Team costs are: $130 until 2/28, $140 from 3/1 to 5/31 and $160 from 6/1 until race day. Team fees are broken down into per person rates.
Gender Male Female
Purchased USAT Member Number
Emergency Contact Name
Emergency Contact Phone
Shirt Size (we can't guarantee sizes if you are registering after April 15th)
Tech shirts included with registration. Shirt guaranteed as long as quantities and sizes last.
COMPETITIVE Co-Ed Wave (for experienced triathletes and/or fast swimmers)
Requirement for signing up for the Competitive Wave is that you are an experienced triathlete or a fast open water swimmer. This is a co-ed wave that will go out first. All participants, regardless of wave placement, are eligible to compete for overall and age group awards.
Anticipated Race Completion Time
I would like to participate in the free open water swim clinic Friday, June 23 at 6PM.
See the website for more details.
I know that swimming, biking and running, regardless of the distance, includes an element of risk. I should not participate in the Black Hills Triathlon (hereinafter 'BHT') unless I am medically able and properly trained. I agree to abide by all rules of the road as defined by the Revised Code of Washington as well as BHT and USA Triathlon rules. I assume any and all risks associated with participating in BHT events including, but not limited to, illness, traveling to and from the events, falls, contact with other participants, volunteers or race officials, the effects of the weather (including temperature extremes and humidity), the effects of the water in Long Lake and the surface conditions of the roads and sidewalks, all such risks being understood and appreciated by me. Having read this waiver and knowing these facts, and in consideration of the acceptance of my application, I hereby for myself, my heirs, executors, administrators or anyone else who might claim on my behalf, covenant not to sue, and waive, release and discharge Black Hills Triathlon Association, its officers, agents and employees, event officials, volunteers and any and all other sponsors, suppliers, agents, independent contractors, The City of Lacey and Thurston County, BuDu Race Timing or its employees, and any other personnel or employees, in any way assisting or connected with group events from any and all claims or liability of any kind or nature whatsoever arising out of my participation in the BHT events, even though that liability may arise out of negligence or carelessness on the part of the persons or parties named in this waiver. I also understand and agree that Black Hills Triathlon Association may subsequently use, for publicity or promotional purposes, my name and/or pictures of me participating in group events without liability or obligation to me. I also hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident and /or illness during the event. This waiver and release shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I hereby certify that I have read this document; and, I understand and agree to its content.
I understand and agree I am under the Age of 18
Parents / Legal Guardian must agree to the waiver for their minor to participant in this event.
Parent/Legal Guardian Waiver Release
PARENT OR LEGAL GUARDIAN MUST READ AND SIGN: I am the parent or legal guardian of the above-named minor, and I agree that the minor may take part in the event activities. I hereby irrevocably and unconditionally agree to all of the terms of the Waiver of Release. I also, for myself and on behalf of my heirs, estate, insurers, successors and assigns, hereby release, indemnify and hold harmless the Released Parties (defined in the above Waiver), with respect to any and all claims or causes of action I may have for damages for personal or bodily injury, disability, death, loss or damage to person or property, whether arising from the negligence of any or all of the Released Parties or otherwise, to the fullest extent permitted by law. By agreeing to this Waiver I certify that I am the parent or legal guardian of the applicant and make these representations on behalf of my child or ward.
I understand and agree
Parent / Legal Guardian Name and Contact Number
Is this your first Triathlon
How many Years have you been participating in Triathlon
Have you participated in Black Hills Triathlon before?