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Kill Creek Park Triathlon Manual Registration Form

  1. JCPRD logo
  2. Event*
    Choose event in which you will participate. Price will be based on date form is submitted to race management team. Please see web page for fee structure.
  3. Relays
    If you are part of a relay, ALL members of the relay will be required to fill out and sign a registration form.
  4. Are you a member of USA Triathlon?*
  5. Not a USAT Member?
    All athletes competing in this event must have a USAT membership including all team members. One day USAT membership is $15, annual memberships are $50. USAT form must be filled out on site and checks must be made out to USAT.
  6. T-shirt size (unisex adult)
  7. Electronic Signature Agreement*
    WAIVER STATEMENT: The undersigned states that he/she understands that the Johnson County Park & Recreation District is not and shall not be responsible for or liable for any illness, injury, or death to person or damage to property, including but not limited to illness, injury, or death arising from exposure to the Novel Coronavirus (COVID-19), resulting from the program in which the undersigned is enrolling or being enrolled or from his/her participating in said program, and the participant and the undersigned, if the participant is a minor or under other legal disability, hereby forever releases and holds harmless the said Johnson County Park & Recreation District, it's employees, agents and representatives from any and all claims of any kind, including but not limited to claims arising from exposure to the Novel Coronavirus (COVID-19), that the participant, or the undersigned or their respective heirs, executors, administrators, or assigns may have or claim to have resulting from participation in said program. NOTICE: By enrolling in this program you hereby acknowledge the Johnson County Park & Recreation District can and may photograph and/or video tape program participants and then use such images without payment or any other consideration, for purposes of publicizing District parks, facilities, programs or services, or for any other lawful purpose.
  8. Leave This Blank:

  9. This field is not part of the form submission.