Clear All Fields
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.
Gender Male Female
Purchased USAT Member Number
Emergency Contact Name
Emergency Contact Phone
Entry fee (Individual)
Team Entry Fees (Per Person)
Team costs are: $220 until 2/28, $320 from 3/1 to 6/18 (or until cap of 200 is reached). Team fees are broken down into per person rates - 2 Person Teams, and 3 Person Teams).
Triple Threat participants must input their Driver’s License Number and the State of Issue when you register in order to gain access to JBLM base and participate in the Deuces’ Wild Triathlon. Security Forces will vet your info and then you will receive an electronic access pass to JBLM. Please note the pass is just for the participant. Any spouse or guests (16 years and over), have to send in their full name, date of birth, driver’s license number and state issued to be vetted.
Drivers License Number
State of Drivers License Issue
This shirt size will be referenced for all three races. NOTE: Sizes cannot be guaranteed if registering after April 5th.
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.
Welcome to Triathlon
We are so excited to have you participate in our race! As you prepare for your first triathlon, please familiarize yourself with our Cut-off Policy located on our website www.blackhillstriathlon.
How many Years have you been participating in Triathlon
Have you participated in Black Hills Triathlon before?
Black Hills Triathlon WAIVER OF LIABILITY
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
Lakewood SummerFEST Triathlon WAIVER OF LIABILITY
Participants and parents/guardians of all participants taking part in Lakewood Parks, Recreation & Community Services programs and events agree to the following release. I/we assume all risks and hazard incidental to such participation including transportation to and from the activities and do hereby waive, release, absolve, indemnify and agree to hold harmless the City of Lakewood, City of Lakewood Parks, Recreation & Community Services Department, Pierce County Parks and Recreation, Clover Park School District, staff, instructors, officials, coaches, volunteers and persons transporting myself or my/our child for any claim arising from injury to myself or my/our child. Furthermore, in case of an emergency, should myself or my child require medical attention, I give permission for a City of Lakewood representative, or the representative's designee, to secure the emergency medical attention required. Any direction to the contrary should be noted on the registration form and signed. I agree that pictures taken during program hours may be used for future promotional purposes.
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