Fillable Form 2406 (City Of Cody)

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Form 2406 (City Of Cody)

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BROWSE CITY OF CODY (WY) FORMS

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The annual summer tri goes
outside and off road!
Saturday, September 10, 2016
Swim approximately 500 yards in
the new Cody Reservoir
Mountain Bike approximately 6
miles on the new beck lake moun-
tain bike trails
Road bike from Beck lake park to the
Cody archery range & back.
Run approximately 3 miles on
mixed terrain.
Register today at the Cody rec center.
For more information, call 587-0400
2.
3.
1.
or
Code: 260003-1
The Cody Parks & Recreaon Department does not provide medical insurance to cover parcipants during an acvity. This is the respon-
sibility of each individual involved in any department program or acvity.
I hereby give my consent for myself and/or for ____________________________ to parcipate in recreaonal acvies sponsored by
the Cody Parks and Recreaon Department in Cody, Wyoming, during any session of the recreaon program. I hereby release the Sho-
shone Recreaon District, Recreaon Director, recreaon Staand Board of Directors, the Cody Parks and Recreaon Department, the
City of Cody, all City sta, volunteers and Sponsors associated therewith from all liability, including claims and suits at law or in equity for
any injury fatal or otherwise, while parcipang in any of the recreaon acvies and understand that I will be fully responsible for any
damage or injuries incurred by the parcipant while involved in any Recreaon Department acvity.
_____________________________________
Signature date
____________________________________________
* Parental guardian if under 18
12th annual summer tri
Saturday, September 10, 2016
Beck Lake Park
2401 14th Street
Cody, WY 82414
Event includes: a 500 yard open water swim @ new Cody reser-
voir; a +/- 6 mile bike ride on the new beck lake trails or a +/-14
mile road ride on hwy 14 16 20, and a 3 mile run.
Name:_________________________________________ Male female
Age on race day: ______________________
Address: ________________________________________
Phone:________________________
Email: _____________________________________
Circle One: Individual Team
team members:
(each member must sign waiver)
Swimmer: ____________________________
(July water temperature was 70 degrees; wet suits are allowed, but not required.)
Cyclist: _______________________________
Runner: _______________________________
While the off-road bike race is encouraged, racers may elect to
ride an approximate 14 mile road ride on HWY 14 16 20 to Cody
Archery Range INSTEAD. Please indicate your bike leg:
Beck Lake Mountain Bike Trails Road ride HWY 14 16
20
PLEASE TAKE OR MAIL ALL ENTRIES TO THE PAUL
STOCK AQUATIC & RECREATION CENTER:
1402 HEART MOUNTAIN STREET /P.O. BOX 2200
CODY, WY 82414
Checks can be made payable to the City of Cody.
Cost on or before August 29: $35/individual or
$70/team. Aer August 29, a $15 late fee applies.
Race starts @ 7 a.m.
2 minute staggered starts
by age group & gender
Race info packets
available September 1
CODE: 260003-1
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Form 2406 (City Of Cody)

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Completed 18 July 2020

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