Get Fit Families Zelienople Youth Triathlon * Get Fit Families Mom’s and Dad’s that Tri
Sunday, June 18, 2017 at 8:00 AM * Zeliemople Community Park * Packet Pick-up on Sunday morning starting at 7:00 AM.
Youth Registration fee is $20/ $25 late fee. USAT Youth Membership $10 * Adult registration Fee is $20/ $25 late fee. One day
Adult USAT Membership fee is $15. All Races are USAT Sanctioned.
Family Fee for families of 3 people: $45 (Does not include USAT membership fees)
Family fee for families of 4 people: $60 (Does not include USAT membership fees)
Mail to: Get Fit Families, 202 High Acres Road, Harmony, PA 16037 * Visit www.getfitfamilies.com for more information
Age Group Distances
4-5 year olds: 25 yd swim, ¼ mile bike, 1/8 mile run. Parent help is appreciated for this age group.
6-7 year olds: 50 yd swim, 1 mile bike, ½ mile run. (1 loop small bike course)
8-9 year olds: 100 yd swim, 1.5 mile bike, 1 mile run. $25 registration fee. (1.5 large bike loop)
10-11 year olds: 200 yard swim, 3 mile bike, 1 mile run. $25 registration fee.
(2 loop large bike loop)
12-13 year olds: 200 yard swim, 4 mile bike, 1.5 mile run. $25 registration fee. (3 loop large bike loop)
14-16 year olds: 200 yard swim, 4 mile bike, 1.5 mile run. $25 registration fee.
(3 loop large bike loop)
Novice Division: All ages. 50 yard swim in the shallow end of the pool. 1 mile bike, ½ mile run. (1 loop small bike course)
Adults: You choose your distance. You have to try and beat your child’s time in their race. Each family member who wins their family race will receive a special
prize. Parents, please complete a separate application for each family member.
Each athlete will receive a goody bag, tee shirt, finisher medal and snacks following the race.
Name: __________________________ Birth date ___________Age as of 12/31/17_____
Address: _______________________ City_________State__________Zip____________
USAT #_____________ Phone:__________________ Email_________________________
Emergency contact: _____________ Relationship: ___________Emergency Phone: __________
Email: _____________________Is this your first triathlon? ___ Can you swim on your own? Y or
N
Are you on training wheels? __________________________________________________
I agree my child is capable of finishing this race. If assistance is needed, I agree to offer help to my child during the race. My child’s
bicycle is in good working order. My child has a helmet that works and fits properly. I will not hold Joella Baker, Get Fit Families, LLC,
Zelienople Community Park, the Borough of Harmony, the Borough of Zelienople or any of their affiliates or volunteers responsible if
something should happen to my child while competing in this event.
Signature of parent or guardian: _______________________ Date: _________________
Signature of participant: ______________________________Date: _________________