Community Come and Try: Individuals and Relay Teams 13 Years and Older

THE EVENTS Age Groupers: The first male and female finisher in each five year age group will receive a Prize Pack You are invited to compete in either the Meningie Half Relay Teams: Medallions will be awarded to the first team Ironman or the Freshstream Community Come & Try in each category. Triathlon, which will be contested from the Lions Park at Fastest Splits: Fastest male and female individual split Meningie. times in each of the legs will receive prizes. Bring the family and stay the weekend or longer! (The General: All individual entrants will receive a competitors 1.9/90/21 Long Course event is a State Championship t-shirt and entry into the pasta night at the Cheese factory event, whilst the 250/8/2 Community Come & Try on Saturday night. 25 qualifying positions will be awarded Triathlon is open to all Triathlete’s. for the Snap Ironman Australia Triathlon 2005 in Forster. These will be divided between males and females in WHO CAN ENTER proportion to entries in the event, and will be calculated  Community Come and Try: Individuals and relay according to overall time so age groupers can still qualify. teams 13 years and older. Ages for Ironman qualification will be taken as your age  Half Ironman: Individuals 18 years and older, and on the day of the race. The Youngest category for relay teams Ironman qualification is 18-24 and age groups go up by 5  Relay teams may consist of two or three members. year increments from 25 up.

Please note that entries payed for with a credit card will HOW TO ENTER show on your statement as “Whitehouse Furniture” Fill in the form on the page opposite; don’t forget to fill in the reverse of the page as well. Post to Southern Vales COMMUNITY COME AND TRY (250/8/2) Triathlon Club, PO Box 902, Morphett Vale, 5162 by last Medallions will be awarded to all individual competitors as mail Wednesday 20th of October 2004 they cross the finish line. When filling in the form, remember that Open Category is Relay Teams: Medals will be awarded to each member of for elite athletes competing for prize money. Late entries a Team that crosses the finish line. will be accepted at Registration at Meningie, but will incur the $10 late entry fee. You will receive your race pack at registration, however if you would like the course RACE RESULTS procedures and map sent in advance, please include the Comprehensive race results including split times for the $2 administration fee. Meningie Half Ironman will be mailed out to all competitors within two weeks of the race. T-shirts for the Event will be supplied in your Race Pack remember to put the size you require on your GENERAL INFORMATION entry . Age for Half Ironman event is taken as at midnight on the 30th of December 2004. All competitors present at the There is no provision for refund to entrants who do not presentations will be eligible for the numerous random compete, or if the event is cancelled due to inclement draw prizes. weather. Post race refreshments will be available to all Half Ironman competitors. EVENT TIMETABLE For further information regarding the events contact Sat Oct 23rd David Wilkinson on (08) 8387 1145 (Hm) or Phil Lean on 4:00-6:00pm Registration & Late entries in the 0412824804. main reception building at The Cheese Factory, Figbie Street, Meningie. RULES 4.00pm Community Come & Try Triathlon Triathlon Australia race rules will apply, copies of which 5.00pm Presentation will be on display at Registration and on race day. Swimmers must wear the swim caps provided – approved th helmets must be worn during the cycle leg – a following Sun Oct. 24 cyclist must be at least 7 metres from any cycles in front, 5:30-6:30am Registration & Late Entries down or be in the process of passing – competitors must walk at the Lions Park. their cycles in the transition area – race numbers must be 6:45am Race Briefing clearly visible during the cycle and run. 7:00am Long Course Start Non compliance with police instructions or road rules will 3.30pm Presentations not be tolerated. Draft officials will be on the course.

Note: The penalty box for drafting / blocking offenders will AWARDS / PRIZES be in place. If shown the Yellow card for drafting or blocking you will MENINGIE HALF IRONMAN (1.9/90/21) be spending 5 minutes in the clearly displayed penalty Open Category: A trophy will be awarded to the first three box. open males and females and prize money will be awarded to the first 5 Open males and 5 Open females (prize The races are fully sanctioned by Triathlon SA. money will be $600, $300, $150, $100 and $50 respectively inclusive of monies from Triathlon SA). The State Long Course Championship is a separate award to the overall award and is open only to Triathlon SA members who are residents of SA, or non-residents who are members of SA affiliated clubs. ENTRY DETAILS INDIVIDUALS LAST NAME:______FIRST NAME:______ADDRESS:______STATE:_____ POSTCODE: ______PHONE(HM):______PHONE(WK)______SEX: M / F DATE OF BIRTH ___/___/19___ AGE ____ (as at midnight 30th Dec 2004) TA MEMBERSHIP NO:______TRI CLUB:______E-MAIL ADDRESS ______RELAY TEAMS RELAY COORDINATOR:______ADDRESS:______STATE:_____ POSTCODE:______PHONE(HM):______PHONE(WK):______RELAY TEAM NAME:______CATEGORY(circle) MALE, FEMALE, MIXED (names) SWIMMER:______CYCLIST:______RUNNER:______

COMPLETE THE ROWS FOR THE EVENT YOU WISH TO ENTER BY CIRCLING/ENTERING AMOUNTS AND CALCULATING TOTAL: COMMUNITY HALF TOTAL COME& TRY IRONMAN INDIVIDUALS OPEN $135.00 $______AGE GROUP $15.00 $130.00 $______NON MEMBER (OPEN) $145.00 $______NON MEMBER (AGE GROUP) $140.00 $______TEAMS $15.00 $135.00 $______LATE ENTRY (after 20/10/04) $ 10.00 $______‘T’ SHIRT SIZE (S, M, L, XL, XXL) Included in Individual Half Ironman Entry circle size Extra T-shirts (S, M , L, XL, XXL) for team members or spectators$ 25.00 $______PASTA DINNER Saturday night at the Cheese Factory included in Individual Half Ironman Entry Family Members, teams and Friends ______X $ 12.00each $______

NO DISCOUNTS AVAILABLE FOR NO T-SHIRT OR PASTA DINNER. TOTAL ENCLOSED $______I enclose a cheque/money order payable to “Southern Vales Triathlon Club” for $______or Charge my  Bankcard  Visa  Master Card the amount of $______My Card Number is ______Card Expiry Date ___/___ Name Displayed on Card______Card Holders Signature______Date ___/___/___ Please note: Credit Card Transactions will show on your statement as “Whitehouse Furniture”

Please complete all details in BLOCK CAPITALS and post, with entry fee, to: SOUTHERN VALES TRIATHLON CLUB, PO BOX 902, MORPHETT VALE, 5162. The following information is crucial in enabling the 2. I, for myself, my heirs, my executors and administrators Medical staff to ensure your proper care in the event hereby waive and release all and any claim, right or of accident or illness during the race. Please attach a cause for action which I or they might otherwise have separate sheet if necessary and insert details for any for, or arising out of loss of life or injury, loss or damage or any description whatsoever which I may suffer or questions you answer YES to. The Following sustain in the course of or consequent upon my entry or information will be kept confidential and only supplied participation in the said event. to the Medical staff. 3. I hereby acknowledge that I have sole responsibility for 1. Do you have any current medical problems or my personal possessions and athletic equipment during conditions for which you are being treated by a doctor? the race and its related activities and functions. Details:______ YES  NO 4. I hereby consent to receive such medical treatment 2. Are you on any medications? which may be deemed advisable in the event of injury, Details:______ YES  NO accident and/or illness during the race. 3. Are you allergic to any medications? 5. I agree to comply with all the rules and directions of Details:______ YES  NO race officials and their servants and/or agents. 4. Are you hypersensitive to insect stings or any marine 6. I hereby allow the free use of my name and picture in life? broadcasts, telecasts and press of the race as they Details:______ YES  NO pertain to the race, pre and post event. 5. Do you wish the medical staff of the Triathlon to be 7. I hereby agree that in the event of a race cancellation aware of any specific medical problem? due to storm, rain, inclement weather, winds or other Details:______ YES  NO "Act of God" conditions, my entry fee shall be non 6. Have you been treated by a physician for any significant refundable. medical condition/problem excluding routine matters 8. I hereby acknowledge this waiver, release and such as colds, flu, etc. in the past 12 months? discharge shall be and operate separately in favour of Details:______ YES  NO all persons, corporations, associations and bodies 7. Have you ever received medical treatment for either involved or otherwise engaged in promotion or staging (a) Hypothermia (low body temperature) the event and their servants, agents, representatives  YES  NO and officers and includes, but is not limited to, the (b) Hyperthermia (heat stress) various committees and members of the Southern  YES  NO Vales Triathlon Club, Snap Ironman Australia Triathlon, 8. Have you required medical treatment during or following Triathlon South Australia, Coorong District Council and an endurance event? SA Half Ironman Triathlon Sponsors, and shall operate Details:______ YES  NO whether or not the loss injury or damage is attributed to 9. Are you a carrier of Hepatitis B, HIV or any other the act or neglect of any one or more of them. infectious disease? 9. I have read the Statements of intent for the 2005 Details:______ YES  NO Ironman Australia Qualifying spots and have ticked 10. Do you wear glasses/contact lenses? either boxes a, b, or c above in the statement. I Details: Glasses______Contact Lens______understand that if I have failed to tick any box in the 11. Have you recently dropped out during a race for Statement that the Half Ironman Organisers will take medical reason? this as "box c" and that I am not attempting to qualify. Details:______ YES  NO Once this form is completed by me, signed and returned to the triathlon organisers I have no further say in the STATEMENT OF INTENT (HALF IRONMAN) distribution of the 2005 Snap Ironman Australia My intention for a 2005 Snap Ironman Australia Triathlon Triathlon qualifying spots from this race. qualifying spot from the 2004 Meningie Half Ironman PRINTED OR TYPED NAME OF (Tick) PARTICIPANT:______ a.) If I qualify I will accept my qualifying spot SIGNATURE 1:______from this race and I plan to enter and attend the 2005 IRONMAN Australia Triathlon at DATE:______Forster/Tuncurry. SIGNATURE 2:______I realise that if I am offered a selection spot for the 2005 Forster IRONMAN Australia Triathlon I will be (TEAMS) required to pay the full entry fee within 31 days. SIGNATURE 3:______ b.) I have already qualified for the 2005 FOR COMPETITORS WHO WILL BE UNDER 18 YEARS IRONMAN Australia Triathlon. OF AGE ON RACE DAY, THE FOLLOWING DECLARATION IS TO BE SIGNED BY A PARENT.  c.) I am not attempting to qualify to compete I certify that I am the parent / guardian of in the 2005 IRONMAN Australia Triathlon and I understand that I have no further claim to any spot ______for which I may have been eligible. who will be ____ years of age on race day and that he/she Conditions of Entry and Acceptance. has trained for and has my consent to compete in the event. I have read, understood and accept that all information contained in this entry form constitutes the entry conditions NAME:______and rules applying to the race other than those additional rules laid down by Triathlon Australia and additional SIGNED:______documentation I will receive from the triathlon organisers once my entry is accepted. BOTH RACES ARE FULLY SANCTIONED BY 1. I hereby attest and verify that I am physically fit and TRIATHLON SA. have sufficiently trained for the event and that my physical condition has been verified by a registered medical practitioner in order to complete in the event. Web Vers3