11th Annual
Cloverleaf Lakes Triathlon
September 1, 2018
​                                                         Registration Fees 


                        Event:           Until July 31      Aug 1- Aug 25  _   Aug 26-Aug 31         

                        Sprint --              $45                       $50                      $55          

                        Relay –                    $100                     $110                   $120

                        Lil' Tri  –                    $25                       $30                      $35

                                   Online registration closes on Thursday, August 30st.
                          Registrations after August 25 cannot be guaranteed an event shirt.

                               All Athletes receive an event shirt, cap, and goodie bag.
                                        Registration Fees are not refundable


                Registration/Packet Pick-up @                                Make Checks Payable to:  
                Rustic Resort Area:                                                                 CAST                                          
                  (W8466 Rustic Dr,  Clintonville, Wi )                             
                                                                                                 Mail to: CAST
                   Saturday September 1, 2018                                            C/O Carla Smith 
                         6:30-8:30  am                                                               145 Anne St 
                                                                                                             Clintonville, Wi 54929
                  Athletes Meeting @ 8:30

                          
2018 Cloverleaf Lakes Triathlon
Mail in Registration Form 


Individual:        Sprint      or      Lil' Tri
First Name: _______________         DOB: ______        Email: ______________________________

Last Name: _______________        Gender: M     F    Shirt Size:  XS  S    M    L    XL   XXL 

Address/City/State: __________________________  Phone #______________________________    

Emergency Contact: ______________________ Emergency Phone #________________________

Relay Team: 
Team Name: _____________________________

Swimmer
First Name: _______________         DOB: ______        Email: ______________________________

Last Name: _______________        Gender: M     F    Shirt Size:  XS  S    M    L    XL   XXL 

Address/City/State: __________________________   Phone#______________________________

Emergency Contact:_____________________ Emergency Phone #__________________________

Biker
First Name: _______________         DOB: ______        Email: ______________________________

Last Name: _______________        Gender: M     F     Shirt Size:  XS  S    M    L    XL   XXL 

Address/City/State: __________________________   Phone#______________________________  

Emergency Contact: _____________________Emergency Phone # _________________________

Runner
First Name: _______________         DOB: ______        Email: ______________________________

Last Name: _______________        Gender: M     F    Shirt Size:  XS  S    M    L    XL   XXL 

Address/City/State: __________________________   Phone#_______________________________  

Emergency Contact: ___________________Emergency Phone # ____________________

I understand that participating in this event is potentially hazardous, and that I should not enter and participate unless I am medically able and properly trained. In consideration of the acceptance of this entry, I assume full and complete responsibility for any injury or accident that may occur while I am traveling to or from the event, during the event, or while I am on the premises of the event. I also am aware of and assume all risks associated with participating in this event, including but not limited to falls, contact with other participants, effect of weather, traffic and conditions of the road. I, for myself and my heirs and executors, hereby waive, release and forever discharge the event organizers sponsors, promoters, and each of their agents, representatives, successors and assigns, and all other persons associated with the event, for all my liabilities, claims, actions, or damages that I may have against them arising out of or in any way connected with my participation in this event.  
I understand that the entry fee is non-refundable. I hereby grant full permission to any and all of the above parties to use any photographs, videotapes, motion pictures, website images, recordings or any other record of this event. 
Print Name_____________________________________  Date_________________
Signature/Parent Signature, if entrant is under 18 __________________________________________

Extra Signatures for Relay Entries/Participants:
Print Name______________________________________  Date_________________
Signature/Parent Signature, if entrant is under 18 ___________________________________________

Print Name_____________________________________  Date_________________
Signature/Parent Signature, if entrant is under 18 ___________________________________________