and duathlon events. top maleand femaleintheendurance finishers in the and the top 3overall menandwomen gift. Trophies will be presented to the All participantswill receive a finisher’s Awards $30 Endurance $25 Sprintand Duathlon Fees the first12 to register. The endurance event will belimited to There will beno race day registration. must bereceived prior to January 25th. this form attheYMCA.Allregistrations participants. Pleasemailor drop off Entries willbelimited to thefirst 80 Registration your heattime. notified the week prior totheevent of the registration form. You willbe 10:00-11:15 frame, (6:00-8:00, 8:20-10:00, Please circle your preferredheattime 7:20 7:00 6:40 6:20 6:00 The heattimesare as follows: served basis. times will be filled ona firstcome, location ontheregistration form. Heat Please listyour preferredstarttime and Start 9:00 8:40 8:20 8:00 7:40 for endurance only 11:05 10:30 10:00 9:40 9:20 ) on

YMCA of Southwestern Indiana 6846 Oak Grove Rd. Evansville, Indiana 47715 www.ymcaswin.org JANUARY 31,2016 SUNDAY, DOWNTOWN YMCA & DUATHLON TRIATHLON INDOOR SPONSORED BY The Event Registration TheThe indoorEvent triathlon offers a spin on RegistrationEntries will be limited to the first 60 traditional . Participants will participants. Please mail or drop off The indoor triathlon offers a spin on Entries will be limited to the first 60 compete based upon distance traditional triathlons. Participants will participants.this form at the Please YMCA. mailAll or registrations drop off completed within an allotted time compete based upon distance thismust form be receivedat the YMCA. prior toAll January registrations 18th. frame. Participants will be competing completed within an allotted time There will be no race day registration. against athletes of all ages for overall must be received prior to January 18th. frame. Participants will be competing placement. ThereFees will be no race day registration. against athletes of all ages for overall $40/person placement. Fees • SPRINT SWIM (15 minutes) YMCA pool $40/person  TRANSITION 1 (10 minutes) • SPRINT SWIM (15 minutes) YMCA pool Awards  BIKE (15 minutes) stationary bikes  TRANSITION 1 (10 minutes) AwardsAll participants will receive a finisher’s provided medal. Trophies will be presented to  BIKE (15 minutes) stationary bikes All participants will receive a finisher’s  TRANSITION 2 (5 minutes) the top 3 overall men and women provided medal. Trophies will be presented to RUN (15 minutes) treadmill finishers. TheThe Event Event RegistrationRegistration TRANSITION 2 (5 minutes) the top 3 overall men and women Triathlon Info TheThe indoor indoor triathlon triathlon o offffersers a a spin spin on on EntriesEntries RUN will will (15 be be minutes) limited limited to treadmillto the the first first 60 60 fini shers. Start traditional triathlons. Participants will participants.Date and TimePlease mail or drop off traditional triathlons. Participants will participants. Please mail or drop off Please list your preferred start time and compete based upon distance thisSunday, form atJanuaryJanuary the YMCA. 31,25, 20162015 All registrations from 76 am to Start compete based upon distance thisDate form and at Timethe YMCA. All registrations location on the registration form. Heat parent’s signature. completedThe Event within an allotted time Registrationnoon. StaggeredStaggered startstart timestimes willwill bebe Please list your preferred start time and atsoever arising out of, or in the course of my participation in this event. This Release and Waiver extends to all completed within an allotted time mustmustSunday, be be received receivedJanuary prior 25,prior 2015 to to January January from 7 18th. 18th.am to times will be filled on a first come, first wh assigned 20 minutes apart. PleasePlease planplan location on the registration form. Heat parent’s signature.

fraTheme. indoor Participants triathlon will off ersbe competinga spin on Entries will be limited to the first 60 atsoever arising out of, or in the course of my participation in this event. This Release and Waiver extends to all frame. Participants will be competing ThereTherenoon. will willStaggered be be no no race race start day day times registration. registration. will be served basis. to arrive 30 minutes prior to your wh againsttraditionalagainst athletes athletes triathlons. of of all all ages agesParticipants for for overall overall will participants.assignedto arrive 3020 minutes Please mailapart.prior or to dropPlease your off plan times will be filled on a first come, first scheduled time. placemencompeteplacement. basedt. upon distance FeesFeesthistoscheduled ar formrive 30at time. theminutes YMCA. prior All toregistrations your served basis. The heat times are as follows: completed within an allotted time $40/person$40/personmustscheduled be received time. prior to January 18th. Sprint LocationLocation The heat times are as follows: ••fraSPRINTme.SPRINT Participants SWIM SWIM (15 (15 willminutes) minutes) be competing YMCA YMCA pool pool There will be no race day registration. 7:00 8:20 10:00 • SWIM (15 minutes) YMCA pool TheThe triathlonsevent will willbe heldbe held at the at the  against TRANSITIONTRANSITION athletes 1 of1 ( 10 (all10 minutes) agesminutes) for overall Awards AwardsLocation 7:20 8:40 10:20 • TRANSITION 1 (10 minutes) DowntownDowntown YMCAYMCA inand Evansville, the duathlon IN. will 7:00 8:20 10:00  placemen BIKEBIKE (15 (15t. minutes) minutes) stationary stationary bikes bikes AllFeesAllThe participants participants even t will willb wille heldreceive receive at the a a finisher’s finisher’s 7:40 9:00 10:40 • BIKE (15 minutes) stationary 7:20 8:40 10:20 providedprovided medal.$40/personmedal.beDowntow held Trophies atTrophiesn theYMCA Dunigan will willin Evansville,be be presentedFamily presented YMCAIN. to to in 8:00 9:20 11:00 • SPRINTbikes provided SWIM (15 minutes) YMCA pool Evansville, Indiana. 7:40 9:00 10:40  TRANSITIONTRANSITION 2 2 (5 (5 minutes) minutes) the top 3 overall men and women Form & Duathlon Registration Indoor Tr ia thlon YMCA the top 3 overall men and women 8:00 9:20 11:00  • TRANSITIONRUNTRANSITION (15 minutes) 1 2( 10(5 treadmill minutes)minutes) Awardsfini Packetshers. pick-up RUN (15 minutes) treadmill finishers.

 • BIKERUN (15(15 minutes) minutes) stationary treadmill bikes AllPacket participants pick-up willwill receivebe the morninga finisher’s of Please circle your preferred heat time Form & Duathlon Registration Indoor Tr ia thlon YMCA Packet pick-up BETWEEN 7:00 AM - 9:00 or 11:00 SPRINT, ENDURANCE, DUATHLON provided Startmedal.the event. Trophies Please will plan be topresented arrive 30 to frame, (7am - 9am or 9am-11am) on the BETWEEN 7:00 AM - 9:00 or 11:00 Circle One: DateDate and and Time Time Start Packet pick-up will be the morning of Please circle your preferred heat time  EnduranceTRANSITION 2 (5 minutes) Please thePleaseminutes top list list 3 before youroverall your preferred preferredyour men scheduled and start start women time time start and and registration form. You will be notified the BETWEEN 7:00 AM - 9:00 or 11:00 SPRINT, ENDURANCE, DUATHLON Sunday,Sunday, January January 25, 25, 2015 2015 from from 7 7 am am to to the event. Please plan to arrive 30 frame, (7am - 9am or 9am-11am) on the BETWEEN 7:00 AM - 9:00 or 11:00 Circle One: location on the registration form. Heat parent’s signature. • RUNSWIM (15 (30 minutes) minutes) treadmill YMCA pool time. week prior to the event of your heat time.parent’s signature. finishers. atsoever arising out of, or in the course of my participation in this event. This Release and Waiver extends to all noon. Staggered start times will be locationminutes on before the registration your scheduled form. start Heat registration form. You will be notifiedatsoever arising out of, or in the course of my participation in this event.the This Release and Waiver extends to all noon. Staggered start times will be times will be filled on a first come, first wh assigned• TRANSITION 20 minutes 1 (10 apart. minutes) Please plan times time. will be filled on a first come, first wh assigned 20 minutes apart. Please plan servedStart basis. week prior to the event of your heat time. Dateto• ar BIKErive and 30 (30 Time minutes minutes) prior stationary to your served basis. to arrive 30 minutes prior to your Please list your preferred start time and Sunday,scheduled bikes January providedtime. 25, 2015 from 7 am to Our Mission: The YMCA of Southwestern Indiana, Inc., following the example of Jesus Christ, scheduled time. location on the registration form. Heat parent’s signature. noon.• TRANSITION Staggered start2 (5 minutes)times will be respondsThe heat to community times are needsas follows: by serving all people, especially youth, through relationshipsatsoever arising out of, or in the course of my participation in this event. This Release and Waiver extends to all

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The heat times are as follows: wh Ourtimes Mission: will The be filledYMCA onof Southwesterna first come, Indiana,first Inc., following the example of Jesus Christ, Preferred starton time: assigned• RUN 20(30 minutes minutes) apart. treadmill Please plan activities that promote healthy spirit, mind, and body. l

Location responds to community needs by serving all people, especially youth, through relationships and th a Location 7:00served basis. 8:20 10:00 ______Date of Birth ______/______/______Age ______to arrive 30 minutes prior to your Preferred starton time: The event will be held at the activities that promote healthy spirit, mind, and body. l Name _ WAIVER. I know that , walking, and a triathlon is a potentially hazardous activity. I should not participate unless I am medically able and properly trained.also know I that,assume although the risk trained of running/cycling lifeguards will on this be provided, track/bike. there is I risk associated with swimming in a pool. I also assume any and all other risks associated with participating in this event including but not limited to falls, contact with ______other participants, the effects of the temperature including high heat and/or humidity, all such risks being known and appreciated by me. Knowing these facts, and in considerationheirs, executors,of your accepting administrators my entry, or Ianyone hereby forelse myself, who might my claim in my behalf, covenant not to sue, and waive, release and discharge the YMCA of Southwestern Indiana, all sponsors, the State of Indiana, City of Evansville, Race Officials and volunteers, any and all claims of liability for death, personalinjury or property damage of any kind or nature Participant Signature Date Signature Participant Address ______City ______State ______Zip ______claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. The undersigned further grants full permission to the YMCA, all sponsors and/or agents authorized by them, to use any photographs, videotapes, motion pictures, recordings or any other record of this event for any purpose. Application for minors will be accepted only with Phone ______Email ______T-shirt size ______Emergency Contact ______Phone ______Du Preferred start time: Triathlon 7:00 8:20 10:00 The event will be held at the 7:20 8:40 10:20 th

scheduled time. a DuathlonDowntown YMCA in Evansville, IN. 7:20The heat times 8:4 0are as follows:10:20 Name _ WAIVER. I know that running, walking, cycling and swimming a triathlon is a potentially hazardous activity. I should not participate unless I am medically able and properly trained.also know I that,assume although the risk trained of running/cycling lifeguards will on this be provided, track/bike. there is I risk associated with swimming in a pool. I also assume any and all other risks associated with participating in this event including but not limited to falls, contact with ______other participants, the effects of the temperature including high heat and/or humidity, all such risks being known and appreciated by me. Knowing these facts, and in considerationheirs, executors,of your accepting administrators my entry, or Ianyone hereby forelse myself, who might my claim in my behalf, covenant not to sue, and waive, release and discharge the YMCA of Southwestern Indiana, all sponsors, the State of Indiana, City of Evansville, Race Officials and volunteers, any and all claims of liability for death, personalinjury or property damage of any kind or nature Participant Signature Date Signature Participant Address ______City ______State ______Zip ______claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. The undersigned further grants full permission to the YMCA, all sponsors and/or agents authorized by them, to use any photographs, videotapes, motion pictures, recordings or any other record of this event for any purpose. Application for minors will be accepted only with Phone ______Email ______T-shirt size ______Emergency Contact ______Phone ______Du

7:40 9:00 10:40 Preferred start time: Triathlon Downtow n YMCA in Evansville, IN. 7:40 9:00 10:40 Location• RUN (15 minutes) treadmill 8:00 9:20 11:00 8:007:00 9:20 8:20 11:0010:00 The• TRANSITIONevent will be held1 (5 atminutes) the Form & Duathlon Registration Indoor Tr ia thlon YMCA Packet pick-up 7:20 8:40 10:20 Form & Duathlon Registration Indoor Tr ia thlon YMCA PacketDowntow• BIKE pick-n (15 YMCA upminutes) in Evansville, stationary IN. Packet pick-up will be the morning of 7:40Please circle your9:00 preferred 10:40heat time Packet bikes pick-up provided will be the morning of Please circle your preferred heat time BETWEEN 7:00 AM - 9:00 or 11:00 SPRINT, ENDURANCE, DUATHLON the event. Please plan to arrive 30 frame, (7am - 9am or 9am-11am) on the BETWEEN 7:00 AM - 9:00 or 11:00 Circle One: • TRANSITION 2 (5 minutes) 8:00 9:20 11:00

BETWEEN 7:00 AM - 9:00 or 11:00 SPRINT, ENDURANCE, DUATHLON theminutes event. before Please your plan scheduled to arrive start30 frame, (7am - 9am or 9am-11am) on the BETWEEN 7:00 AM - 9:00 or 11:00 Circle One:

registration form. You will be notified the Form & Duathlon Registration Indoor Tr ia thlon YMCA • RUN (15 minutes) treadmill minutestime.Packet before pick- yourup scheduled start registrationweek prior form.to the You event will of be your notified heat thetime. time.Packet pick-up will be the morning of weekPlease prior circle to theyour event preferred of your heat heat time time. BETWEEN 7:00 AM - 9:00 or 11:00 SPRINT, ENDURANCE, DUATHLON the event. Please plan to arrive 30 frame, (7am - 9am or 9am-11am) on the BETWEEN 7:00 AM - 9:00 or 11:00 Circle One: minutes before your scheduled start registration form. You will be notified the Our Mission: The YMCA of Southwestern Indiana, Inc., following the example of Jesus Christ, time. week prior to the event of your heat time. Ourresponds Mission: to communityThe YMCA of needs Southwestern by serving Indiana, all people, Inc., especially following youth, the example through of relationships Jesus Christ, and ______Date of Birth ______/______/______Age ______on Preferred starton time: respondsactivities to that community promote needshealthy by spirit, serving mind, all people, and body. especially youth, through relationships and l th ______Date of Birth ______/______/______Age ______a on Preferred starton time: activities that promote healthy spirit, mind, and body. l th Name _ WAIVER. I know that running, walking, cycling and swimming a triathlon is a potentially hazardous activity. I should not participate unless I am medically able and properly trained.also know I that,assume although the risk trained of running/cycling lifeguards will on this be provided, track/bike. there is I risk associated with swimming in a pool. I also assume any and all other risks associated with participating in this event including but not limited to falls, contact with ______other participants, the effects of the temperature including high heat and/or humidity, all such risks being known and appreciated by me. Knowing these facts, and in considerationheirs, executors,of your accepting administrators my entry, or Ianyone hereby forelse myself, who might my claim in my behalf, covenant not to sue, and waive, release and discharge the YMCA of Southwestern Indiana, all sponsors, the State of Indiana, City of Evansville, Race Officials and volunteers, any and all claims of liability for death, personalinjury or property damage of any kind or nature Participant Signature Date Signature Participant Address ______City ______State ______Zip ______claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. The undersigned further grants full permission to the YMCA, all sponsors and/or agents authorized by them, to use any photographs, videotapes, motion pictures, recordings or any other record of this event for any purpose. Application for minors will be accepted only with Phone ______Email ______T-shirt size ______Emergency Contact ______Phone ______Du Preferred start time: Triathlon

Our Mission: The YMCA of Southwestern Indiana, Inc., following the example of Jesus Christ, a Name _ WAIVER. I know that running, walking, cycling and swimming a triathlon is a potentially hazardous activity. I should not participate unless I am medically able and properlyalso know trained. that, I althoughassume the trained risk lifeguards of running/cycling will be provided, on this track/bike. there is risk I associated with swimming in a pool. I also assume any and all other risks associated with participating in this event including but not limited to falls, contact with ______other participants, the effects of the temperature including high heat and/or humidity, all such risks being known and appreciated by me. Knowing these facts, and in considerationheirs, executors, of your administrators accepting my or entry,anyone I herebyelse who for might myself, claim my in my behalf, covenant not to sue, and waive, release and discharge the YMCA of Southwestern Indiana, all sponsors, the State of Indiana, City of Evansville, Race Officials and volunteers, any and all claims of liability for death, personalinjury or property damage of any kind or nature Participant Signature Date Signature Participant Address ______City ______State ______Zip ______claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. The undersigned further grants full permission to the YMCA, all sponsors and/or agents authorized by them, to use any photographs, videotapes, motion pictures, recordings or any other record of this event for any purpose. Application for minors will be accepted only with Phone ______Email ______T-shirt size ______Emergency Contact ______Phone ______Du Preferred start time: Triathlon

responds to community needs by serving all people, especially youth, through relationships and (Endurance Only) AM or 10:00 - 11:15 AM, 8:20 - 10:00 AM - 8:00 Preferred start time: BETWEEN 6:00 Triathlon ENDURANCE, DUATHLON AM CIRCLE ONE: SPRINT, AM - 10:00 AM, or 8:20 AM - 8:00 Duathlon start time: BETWEEN 6:00 I assume the risk of I should not participate and properly trained. unless I am medically able a triathlon is a potentially hazardous activity. that running, cycling and swimming I know walking, WAIVER. and all other risks I also assume any associated with in a pool. there is risk will be provided, associated with swimming lifeguards that, although trained I also know running/cycling on this track/bike. all such risks and appreciated being known including high heat and/or humidity, of the temperature contact with other participants, the effects not limited to falls, including but participating in this event not to covenant behalf, else who might claim in my or anyone administrators executors, heirs, my myself, for I hereby entry, accepting my of your and in consideration these facts, Knowing me. by for death, and all claims of liability any volunteers, Race Officials and YMCA of Southwestern the State of Indiana, City Evansville, Indiana, all sponsors, release and discharge the and waive, sue, kind or to all claims of every extends Waiver This Release and participation or in the course of my personal injury arising in this event. out of, or property kind or nature whatsoever damage of any photographs, them, to use any YMCA, all sponsors and/or agents authorized by The undersigned further full permission grants to the or unknown. known or unforeseen, foreseen nature whatsoever, signature. minors will be accepted only with parent’s Application for purpose. any for other record of this event recordings or any motion pictures, videotapes, ______Date of Birth ______/______/______Age ______on Preferred starton time:

activities that promote healthy spirit, mind, and body. l th a Name _ WAIVER. I know that running, walking, cycling and swimming a triathlon is a potentially hazardous activity. I should not participate unless I am medically able and properly trained.also know I that,assume although the risk trained of running/cycling lifeguards will on this be provided, track/bike. there is I risk associated with swimming in a pool. I also assume any and all other risks associated with participating in this event including but not limited to falls, contact with ______other participants, the effects of the temperature including high heat and/or humidity, all such risks being known and appreciated by me. Knowing these facts, and in considerationheirs, executors,of your accepting administrators my entry, or Ianyone hereby forelse myself, who might my claim in my behalf, covenant not to sue, and waive, release and discharge the YMCA of Southwestern Indiana, all sponsors, the State of Indiana, City of Evansville, Race Officials and volunteers, any and all claims of liability for death, personalinjury or property damage of any kind or nature Participant Signature Date Signature Participant Address ______City ______State ______Zip ______claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown. The undersigned further grants full permission to the YMCA, all sponsors and/or agents authorized by them, to use any photographs, videotapes, motion pictures, recordings or any other record of this event for any purpose. Application for minors will be accepted only with Phone ______Email ______T-shirt size ______Emergency Contact ______Phone ______Du Preferred start time: Triathlon