Performance Health & Fitness DriTri – 10th Annual

Saturday, February 22, 2025 at Performance Health & Fitness, 3290 Ridgeway Dr, Suite 1 in Coralville, IA

What category would you like to sign up for? You can sign up for any of the following categories.




Waiver

I accept responsibility for use of any and all apparatus, appliances, facility, privilege, or service whatsoever, owned and operated at this club at my own risk, and shall hold this club, its shareholders, directors, officers, employer’s representatives, employees and agents harmless from any and all loss claim of injury damage, or liability sustained or incurred by me resulting there from. I authorize the use of photographs or videos that include my image for promotional, informational, or other reasons deemed to be in the best interest of the event.

I certify as a material condition to my being permitted to enter this race that I am physically fit that my physical condition has been verified by a licensed Medical Doctor. By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above waiver.



Please Sign Below

Your electronic signature is the online equivalent of your ink-on-paper signature, and can be provided by typing your name where indicated. The electronic signature will signify your understanding, acceptance, and authorization to accept the conditions of this legal document, including the following statements:

  • I have read, have understood, and do accept the agreement above.
  • I understand that this is a legal document with effects that I approve and authorize.
  • The registrant is the person(s) whose name is submitted as the recipient of the goods and services provided as a result of this transaction.
  • I am authorized to agree to the terms of this document on behalf of the registrant.
  • If the registrant is under 18 years of age, incapacitated, or mentally challenged, I assert that I am the parent/legal guardian or otherwise authorized to execute a legally binding agreement on behalf of the registrant.

Electronic Signature

You must be 18 years of age to legally complete this registration. If the registrant is under 18, an authorized adult must complete this form.
If the person you are registering (registrant) is under 18, do not enter his/her age. You will do that on the next step. Enter your age here as the person completing the form.




Multiple signers should separate their signatures with commas.


This agreement was generated at 5:28:42 AM EST on 11/23/2024.