BLACK DIAMOND OLYMPIC & SPRINT TRIATHLON Entry Form
Sunday, September 14, 2008 - 9:00AM
Nolte State Park, 6 miles east of Enumclaw, WA
Olympic Triathlon* - 1.5K Swim, 40K Bike, 10K Run (waves)
Olympic Duathlon* - 40K Bike, 10K Run (Time Trial Start)
Sprint Triathlon* - 1/2-Mile Swim, 11-Mile Bike, 2.8-Mile Run (waves)
Tri-iT Novice Triathlon - 1/4-Mile Swim, 11-Mile Bike, 2.8-Mile Run (waves)

Web site: www.racecenter.com/blackdiamond
Email: events@racecenter.com
Phone: 503-644-6822

*TRI NorthWest Ranked Event

Official Use Only

Instructions
> Type in your information in the blanks provided.
> Print entry form & SIGN WAIVER (Entry will not be accepted without the signed waiver)
> Make Checks Payable to: Black Diamond Olympic

Mail to:
AA Sports, Ltd.
4840 SW Western Ave.
Suite 400
Beaverton, OR 97005

Event (Choose One)

ENTRY FEES ARE NON-REFUNDABLE / NON-TRANSFERABLE

Individual
(ENTRY FEES INCLUDE: Commemorative T-shirt, ChampionChip Timing, Finisher Medal, Post Race BBQ - TRI NW Members can deduct $10.00 from entry fee, with valid membership #)


Relay - Two or Three Person (EACH PERSON MUST FILL OUT SEPARATE ENTRY FORM & ALL MUST BE MAILED IN TOGETHER)
(ENTRY FEES INCLUDE: ChampionChip Timing, Commemorative T-shirt, Finisher Medal, Post Race BBQ)

First Name / MI / Last Name

Street Address

City

State/Province

Zip/Postal Code

Birthdate - mm/dd/yy (birth year not 2008)

Age

Gender

Phone

Email

Division (Individual)

Special Divisions (Applies to Individuals ONLY)

RELAY MUST COMPLETE*
* Team Name (20 characters or less)

* Triathlon Relay Division (Combined three ages)

Swimmer

Biker

Runner

T-Shirt Size (Each participant receives a 100% Cotton Short sleeved T-shirt)
ChampionChip Number (if applicable - Example - CE12345)

TRI NorthWest Membership # (if applicable - deduct $10.00 if a member)

Anticipated Finish Time
Check#

Amount Enclosed


WAIVER MUST BE READ, SIGNED AND MAILED WITH ENTRY
OFFICIAL WAIVER: I acknowledge that a Multi-Sport Event is an extreme test of a person's physical and mental limits and carries with it the potential for death, series injury, and property loss. I HEREBY ASSUME THE RISKS OF PARTICIPATING IN THIS EVENT. I certify that I am capable of completing all disciplines of the event, and that I am physically fit and that I have sufficiently trained. I agree to abide by the competitive rules. I hereby take the following action for myself, my executors, administrators, heirs, next to kin, successors and assigns, or anyone else who might claim or sue on my behalf, and I hereby waive, release and discharge from any and all claims, losses, or liabilities for death, personal injury, partial or permanent disability, property damage, medical or hospital bills, or theft which may arise out of or relate to my participation in this event. I agree not to sue, and to hold harmless any and all persons, sponsors, volunteers, participants or government agencies for any and all claims or liabilities that I have waived, released or discharges herein. I further agree to return the timing Chip that is been issued to me or to pay a $30 replacement charge. The Entry Fee is Non-Refundable/Non-Transferable.

Type Full Name


Signature X ___________________________________________________________________
(Signature of Parent or Legal Guardian if participant is under the age of 18)

Date________________________________________