Author: USER4

SUNDAY
MARCH 26 , 2023
REGISTRATION DEADLINE
MARCH 15, 2023
Late Fee of $10 after deadline if spots available
Cannot Guarantee shirt after March 9, 2023
Swim, bike, & run around the Y! Youth & adults of all skills & abilities can compete as individuals or teams for their division title.
Begin in our pool, starting strong by swimming laps. Then jump on one of our Keiser Cycles or Matrix LifeFitness Cycles in our cycling room to spin your heart out. Immediately following your ride, head up to the track so you can begin your run to the finish.

COMPLETE IF COMPETING AS A TEAM
Team Name__________________________________________________________
TEAMMATE #2
Name___________________________________ DOB_______/_______/________
First Last
Team Event (Mark your event—1 teammate per event)
□ Swim □ Cycle □ Run
Mark if participating as an Adaptive Athlete
□ Youth Junior □ Youth Senior □ Adult
Shirt Size - Not guaranteed after deadline
□ Youth S □ Youth M □ Youth L □ Youth XL
□ Small □ Medium □ Large □ XL □ XXL
TEAMMATE #3
Name___________________________________ DOB_______/_______/________
First Last
Team Event (Mark your event—1 teammate per event)
□ Swim □ Cycle □ Run
Mark if participating as an Adaptive Athlete
□ Youth Junior □ Youth Senior □ Adult
Shirt Size - Not guaranteed after deadline
□ Youth S □ Youth M □ Youth L □ Youth XL
□ Small □ Medium □ Large □ XL □ XXL

ADDITIONAL INFORMATION
Youth Junior Division
• Swim 2 down/back laps | Cycle 2 miles | Run 4 laps on track
• Adaptive Athlete distances: Swim 2 down/back laps or for 7 mins | Cycle 2 miles or for 7 minutes | Run 4 laps or for 5 minutes
• Participants may use flotation devices if desired.
• All youth participants will receive a medal and a race day bag.
Youth Senior Division
• Swim 4 down/back laps | Cycle 5 miles | Run 8 laps on track
• Adaptive Athlete distances: Swim 2 down/back laps or for 7 mins | Cycle 2 miles or for 7 minutes | Run 8 laps or for 10 minutes
• Adaptive Athletes may use flotation devices if desired.
• All youth participants will receive a medal and a race day bag.
Adult Division
• Swim 17 down/back laps | Cycle 12.4 miles | Run 25 laps on track
• Adaptive Athlete distances: Swim 8 down/back laps or for 15 mins | Cycle 5 miles or for 10 minutes | Run 16 laps or for 30 minutes
• Adaptive Athletes may use flotation devices if desired.
• 30 minute time cap on each individual event—1hr 30 minute time cap for entire Triathlon.
• Top overall, individual male, individual female, & team will all receive a medal.
• All adult participants will receive a race day bag.
All Divisions
• Running clock format.
• Divisional awards will be held after last heat in division.
• Adaptive Athletes are defined as athletes with diverse physical or learning abilities.
• Adaptive Athletes may compete as a team within any age division.
• Individual competitors must make an effort to be dry upon entering the cycling room after the swim, you will be unable to begin cycling until approved.
• All non-swimming participants will be marked with race numbers. Swimmer numbers will be posted on pool deck in the swimmers lane.
• Teams must tag next teammate in order to begin their next event.

Chris Douglas - Wellness Director
(701) 852-0141 | cdouglas@ymcaminot.org
www.ymcaminot.org
Minot Family YMCA | 3515 16th Street SW | Minot, ND

SPLASH, SPIN,
AND DASH

Splash, Spin, & Dash Indoor Sprint Triathlon MINOT FAMILY YMCA

Youth Junior Division
Ages 6-9
Individual: $15 Team: $45

Youth Senior Division
Ages 10 -14
Individual: $15 Team: $45

Adult Division
Ages 15+
Individual: $25 Team: $75

Adaptive Athlete Distances*

Adaptive Athlete Distances*

Adaptive Athlete Distances*

Check In: TBA
Pre-Race Meeting: TBA
Heats Begin: Following Youth S Division

Check In: TBA
Pre-Race Meeting: TBA
Heats Begin: Following Adult Division

Check In: 12-12:30PM & 1-1:30PM**
Pre-Race Meeting: 12:30PM & 1:30PM**
Heats Begin: 1:00PM

* Adaptive Athletes are defined as athletes with diverse physical and/or learning abilities.
** Heats, Check-In times, and Pre-Race Meeting times will be verified, assigned, and announced March 18, 2023

REGISTRATION FORM
Name_________________________________________________________________
First Last
DOB_______/_______/___________ Phone________-________-____________
Home Address
_________________________________________________________________________
City____________________________ State_________ Zip_________________
E-mail________________________________________________________________
Division
□ Youth Junior Individual □ Youth Junior Team
□ Youth Senior Individual □ Youth Senior Team
□ Adult Individual □ Adult Team
Mark ONLY if participating as an Adaptive Athlete
□ Youth Junior □ Youth Senior □ Adult
□ Team Event (Team Participants only—mark your event)
□ Swim □ Cycle □ Run
Shirt Size - Not guaranteed after deadline
□ Youth S □ Youth M □ Youth L □ Youth XL
□ Small □ Medium □ Large □ XL □ XXL
Volunteer Only
□ I would like to volunteer! Shirt size__________
* All volunteers will be contacted prior to event *
Authorization (18+ or Parent/Guardian)
I, the undersigned, represent that I am medically fit to participate in this event. In consideration of you accepting my entry, I, intending to be legally bound, do hereby for myself, my heirs, executors, and administrators waive and release forever any and all rights and claims or damages I may accrue against all persons and agencies involved with the Splash, Spin, & Dash Triathlon, February 26, 2022. I hereby grant full permission .
□ I give permission to Minot Family YMCA to use photographs or videos of me/my team for promotional or other legitimate purposes.
Signature______________________________________ Date__________________
Teammate #2 Sig.______________________________ Date_________________
Teammate #3 Sig.______________________________ Date_________________

PLEASE CONTINUE TEAM REGISTRATION
ON THE BACK OF THIS FORM

SATURDAY
FEBRUARY 16
2019
REGISTRATION DEADLINE
February 8, 2019