Registration Form


Check in:                               6:15-7:25 a.m.

Pre Race meeting              7:15 a.m.

Start Time:                           7:30 a.m.











Cell #________________________________







Gender:    M          F           Age:____________



Event Entry:








Shirt Sizes:     S           M          L        XL         XXL



(Please Print)

Team Name: _______________________


List Team names                    Shirt size








Fee: Individual:    through June 1st: $45.00


                                 June 2 - August 5: $50.00


         Team:            Through June 1st: $65.00


                                June 2 - August 5: $70.00



Checks payable to: MASC (Minnewaska Area Swim Club)

Print and send this form to:

Minnewaska Triathlon
c/o Linda Hoffmann
103 E. Ridgeview Drive
Starbuck, MN 56381
(32) 239-4972

This race is being timed by Pickle Events with ChampionChip Timing System!

All applicants must sign:

I understand that a multi-sport event such as a Triathlon is potentially dangerous activity. I should not participate unless I am medically able and properly trained. I assume any and all risks associated with participating in this event including, but not limited too: temperature, water, condition of athlete’s equipment, vehicular traffic, falls, and contact with participants, actions of volunteers, spectators and producers of the event and lack of hydration, all such risks, being known, and appreciated by me. Knowing these facts and in consideration of accepting my fee, I hereby for myself, my heirs, executors, administrators, or anyone else who might claim on my behalf covenant not to sue, and waive and release every kind of whatsoever, foreseen or unforeseen, known or unknown. The undersigned further grants full permission to the Minnewaska Community Education and Minnewaska Swim Boosters and /or its agents authorized by them, to use photographs, videotapes, recordings, or other record of this event for any other purpose.

Applications for Minors will be accepted only with Parent/Guardian signatures:

                 (Parent/guardian if under age of 18)

**All participants must wear a bike helmet at all times during the bike portion of the race.