Register For
Lake Max Triathlon and Duathlon

Culver, IN 46511

Registrant #1

Who are you registering? *


By selecting this box, you are indicating that you are the parent/guardian of the person you are about to register. Additionally, if the child is under the age of 13, you are consenting to the collection and use of the information about the child for the purpose of the registration as described in our privacy policy.

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Basic Info

To be able to access / edit your registration.

Additional Information

Format: mm/dd/yyyy
Used for age group calculations
Format: ###-###-####

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Choose Your Event(s) *

Sign Up by midnight August 3rd for guaranteed a shirt

$65.00 + $1.95 SignUp Fee

Sign Up by midnight August 3rd for guaranteed a shirt

$95.00 + $2.85 SignUp Fee

Open to ages 5 - 12.

$20.00 + $1.25 SignUp Fee

Sign Up by midnight August 3rd for guaranteed a shirt

$65.00 + $1.95 SignUp Fee

Waiver

CONSENT AND RELEASE
By entering this event and signing below, I accept all risks associated from my participation that could result in the loss of life or permanent injury. Accordingly, I release all people associated with the conduct of this event from and will indemnify them against all liability (including liability for negligence) for all injury, loss, damage arising out of or connected with my participation in this event. The people released include but are not limited to event organizers, promoters, sponsors, the Culver Academies and the City of Culver and its homeowners, supporters, and all public authorities. I understand that the safety precautions undertaken at the vent by organizers are a service to me but are not a guarantee of my safety. I will provide event organizers all details of my past and present medical or physical conditions that may affect my performance or be relevant if medical treatment is necessary. I consent to event organizers using my name, image, likeness, before, during or after the event for promotional broadcasting or reporting purposes in any media.




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