Adams County Wisconsin
Adams County Wisconsin
Castle Rock Triathlon Entry Form
Adams County Wisconsin Adams County Wisconsin Chamber of Commerce
Adams County Wisconsin Chamber of Commerce
Adams County Wisconsin

Adams County Wisconsin Chamber of Commerce

Adams County Wisconsin Chamber of Commerce
Adams County Wisconsin Chamber of Commerce

Adams County Wisconsin Economic Development

Adams County Wisconsin Chamber of Commerce
Adams County Wisconsin Chamber of Commerce

DATE: July 22, 2006 - 9:00 A.M.

LOCATION: Castle Rock Park, County Rd Z, Friendship, WI

DISTANCES: 1/4 mile swim, 16 mile bike, and 3 mile run

RULES & INFORMATION: Click Here

Registration Form - Please Print
This form may be duplicated.

Name:__________________________ Home Phone:__________

Street:__________________________ P.O. Box:_____________

City:____________________ State:______ Zip:____________

Birthdate:________  Sex:____

Select if Applicable

___Male/Clydesdale (200 lbs. +) or __ Female/Athena (150 lbs. +)

TEAM INFORMATON

Team Name:____________________

Swimmer ________________________ Birth Date __________

Biker ___________________________ Birth Date ___________

Runner _________________________ Birth Date ___________

Ability Level: ____________________Coed______Male______Female_____
(Elite - Experienced - Beginner)

Shirt Size: M____ LG_____ XL_____ XXL_____

I hereby absolve and hold harmless the County of Adams, the township of Quincy, the Adams County Sheriff's Department, the Adams County Highway Department, the Moundview Memorial Hospital, the Adams County Chamber of Commerce & Tourism, the Adams-Friendship Student Council, all sponsors and race official from any liability for any injury incurred by myself while participating in the Castle Rock Triathlon. I further provide that this consent and waiver applies to my heirs, executors and assignees. I attest and verify that I will participate in this event and my phyical condition has been verified by a licensed medical doctor. Further, I hereby grant full permission to any and all of the foregoing to use my name and any photographs, videotapes, motion pictures, recordings, or any other record of me participating in the event for any publicity and/or promotional purposes without obligation or liability law. I have read the entry information provided and certify my compliance by my signature below. I also understand entry fees I pay are non-refundable.

Signature:_____________________________________________

Parent/Guardian:_______________________________________

Please make checks payable to: Castle Rock Triathlon

Send completed registration to: Castle Rock Triathlon, P.O. Box 576, Adams, WI 53910

Castle Rock Triathlon Profits go to Community Non-profit Groups & Organizations

Early registration is strongly encouraged, but late and race day registration is okay.

  • Individual Early Registration (Before 7/14) - $40.00
  • Individual Late Registration (Thru 7/20) - $50.00
  • Individual Late (After 7/21-22) - $70.00 Race Day Registration - $75.00
  • Team Early Registration (Before 7/14) - $65.00
  • Team Late Registration (7/15-7/20) - $75.00 after 7/20 - $85 - Race Day Registration - $90.00

This year the race will be timed with ChampionChip Timing system.  All athletes will be issued a timing chip.  This chip must be worn on the ankle throughout the entire race.  No chip, no time.  Chips must be returned after the race or the athlete will be subject to a $35 fee.

"Click   Here" for Triathlon Rules & More Information

 

Adams County Wisconsin Back To Main Menu Adams County Wisconsin

Adams County Chamber of Commerce
115 South Main Street
P.O. Box 576
Adams, Wisconsin 53910
608-339-6997
E-mail: chamber@adamscountywi.com

Adams County Rural & Industrial
Development Commision

P.O. Box 236
Friendship, WI 53934
Phone: (608) 339-6945
Fax: (608) 339-0052
E-mail: economicdevelopment@adamscountywi.com

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Adams County Wisconsin