DeWitt Crossroads Triathlon 2023

Saturday, July 22, 2023 at Killdeer Recreation Area in DeWitt, IA

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

Adult Triathlon

Open/Age Group (Top 3 M/F Finishers Receive a Cash Prize)-Clydesdale (Men 220 + lbs.)-Athena (Women 165+ lbs.)

* Click here for fee information

3 Person Relay Team

* Click here for fee information

Event Waiver and Release of Liability

CLINTON COUNTY PARTICIPANT WAIVER OF RESPONSIBILITY FORM
I, the undersigned, by participating in the DeWitt Crossroads Triathlon sponsored by First Central State Bank understand and agree that such activity has certain inherent risks that can and do result in injury that can be serious, life limiting, and life threatening. I, the undersigned, agree to release Clinton County, its' elected officials, employees or volunteers from all claims resulting from any and all injuries sustained while participating in the aforementioned event, except that arising out of the sole negligence of the Clinton County, its' elected officials, employees or volunteers. If participant is a minor (under the age of 18), a parent or legal guardian must sign this form.

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.

Provide your current age:

I agree:
Check the box to indicate agreement with the terms of this document.

Provide your electronic signature by typing the name of athlete over 18 years of age or parent/legal guardian of minor under 18 years of age or legal guardian of incapacitated and/or mentally challenged person:

Multiple signers should separate their signatures with commas.

This agreement was generated at 8:29:41 PM EDT on 05/27/2023.

Enter a value unless you want this to work: