Kids Triathlon : Registration

Special Support Provided by:

Habitat provides a unique opportunity for corporate sponsors to support ALL of these efforts. Just listen to what some of the parents and participants had to say:

“I can't tell you how impressed we all were. The race was so well organized; all went smoothly...it was a terrific experience. We will be back next year, most certainly! Thanks so much for everything!” – Terry Bradley (Jane's Mom)

“Based on how much fun it was there will be more from our family attending. Great job to the staff and volunteers!” – Paul C.

In consideration of accepting this entry in the 2013 Kids Triathlon, I the undersigned parent/guardian, intending to be legally bound, do hereby, for myself, my heirs, executors, administrators and assigns waive and release any and all rights and claims for damages I may have against Habitat for Humanity of Greater Pittsburgh and /or any and all sponsors of this event, their officers, directors, agents, employees and any representative thereof, their successors and assigns, for any and all injuries suffered by my child/ward, of any nature whatsoever in this event. I understand that a triathlon is a potentially hazardous activity and I hereby certify that my child/ward is medically able and physically fit to participate in this event.

I, hereby, grant full permission to Habitat for Humanity of Greater Pittsburgh and any other sponsors of this public event full permission to use my child/ward’s name, likeness and voice as well as any photographs, videotapes, motion pictures, recording or any other record of this event in which my child/ward may appear for any legitimate purposes including television broadcasting of this event, the reuse of any media of this broadcast and in advertising and promotion for such broadcast and reuse.

First Name:
Last Name:
Birthday:	Male Female
T-Shirt Size:
Location:	North Park South Park Both Please make a selection.

First Name:
Last Name:
Birthday:	Male Female
T-Shirt Size:
Location:	North Park South Park Both Please make a selection.

First Name:
Last Name:
Birthday:	Male Female
T-Shirt Size:
Location:	North Park South Park Both Please make a selection.

First Name:
Last Name:
Address:
City:
State:		Zip:
Mobile Phone:
Email:
Alternate Email:
Terms and Waivers In consideration of accepting this entry in the 2013 Kids Triathlon, I the undersigned parent/guardian, intending to be legally bound, do hereby, for myself, my heirs, executors, administrators and assigns waive and release any and all rights and claims for damages I may have against Habitat for Humanity of Greater Pittsburgh and /or any and all sponsors of this event, their officers, directors, agents, employees and any representative thereof, their successors and assigns, for any and all injuries suffered by my child/ward, of any nature whatsoever in this event. I understand that a triathlon is a potentially hazardous activity and I hereby certify that my child/ward is medically able and physically fit to participate in this event. I, hereby, grant full permission to Habitat for Humanity of Greater Pittsburgh and any other sponsors of this public event full permission to use my child/ward’s name, likeness and voice as well as any photographs, videotapes, motion pictures, recording or any other record of this event in which my child/ward may appear for any legitimate purposes including television broadcasting of this event, the reuse of any media of this broadcast and in advertising and promotion for such broadcast and reuse.
I acknowledge and accept the Terms and Waivers listed above. Please accept the Terms and Waivers.
Registration fee $30 per participant. Please submit your registration form and continue to confirm your method of payment. Additional Contribution Please consider making an additional contribution to help Habitat create safe homes for Pittsburgh families. Thank you for your generosity. I would like to contribute:

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Kids Triathlon Registration

First Participant

Second Participant

Third Participant

Parent/Guardian Information

Terms and Waivers

Registration fee

Additional Contribution