WINTER SUPER SPRINT TRIATHLON
SWIM - 200 METERS / BIKE 6 KILOMETERS / RUN 2 KILOMETERS
KAILUA-KONA, HAWAII
Club Donation $45. Your Donation gives you club member support along with finish time and time splits at TMR scheduled event.
Annual Team Mango Club T-Shirts available for an additional $10 with your paid 1-Day Club Membership.
please print clearly

Name _____________________________________________________
LAST NAME / FIRST NAME / MIDDLE INITIAL

Age__________ Gender: M____ / F____

Address: ___________________________________________________

Town/City:____________________________________________________

State / Provence:_____________________________________________

Zip /Country Code:_______________ Country __________________

Contact Phone: (_______) __________________________________

e-mail address:_______________________________________________
Club Training Participant Release
Club Members Release: I UNDERSTAND this is a trial club membership for (1) Day only, and fully understand that I am a TEAM MANGO RACES
Club Member and I am aware this a Team Mango Training Event and as a club member shall and will obey all LAWS governing the STATE of HAWAII while
participating in all Team Mango Training Event, this pertains to all areas of the Ocean and obeying all swim area regulations during all Team Mango events.
While participating on my bike or running on Hawaii roadways during a Team Mango Training events I shall obey all Hawaii County/State Laws on the roads.
______inital

I agree to receive mailings from Team Mango Races vendors which, does not obligate me to purchase any athletic related products. I GIVE PERMISSION for
free use of my name, voice or picture in any broadcast, telecast, advertising promoting or other account of this event. I agree to comply with rules,
regulations, and event instructions of the Team Mango Races Triathlon.
I understand that participating in an Ultra Distance Triathlon is potentially hazardous activity and can be resulting serious injury or death. I am aware of and
expressly assume all inherent risks associated with participating in this event, including, but not limited to falls, contact with other participants, and objects,
the effects of weather, including high heat and humidity, traffic, and the conditions of the Triathlon course and the finish area. ______initial

IN CONSIDERATION: of your accepting this entry, I for myself and anyone entitled to act on my behalf, waive and release from any and all claims for injury
and damages I may have against Team Mango Races, the Village of Kailua, Kona County, the State of Hawaii, the United States of America, the Sponsors,
Event Volunteers, their agents and representatives caused by negligence of any of them arising out of my participating in this event, including pre and
post-race activities. I ATTEST that I am physically fit and have a sufficiently trained for competition of the Triathlon. ____initial

I CONSENT to receive Medical treatment which may be advisable in the event of illness or injury suffered by me during this event and agree to pay for the
costs of my Medical treatment. ____initial
Team Mango Course rules and regulations
SWIM: Swim Fins and Wetsuits allowed. Large and Unusual Swim Caps (Cowman Horns) ALLOWED. While on the SWIM course. GOOD
SPORTSMANSHIP will be observed at ALL TIMES. NO CUTTING SWIM COURSE. Resting on surfboards or other flotation assistances from Water Patrol
allowed. NO FORWARD MOVEMENT WHILE HANGING ON WATER PATROL SURFBOARD.
BIKE: Team Mango Races bike course rules, and ALL HAWAII TRAFFIC LAWS MUST BE OBSERVED AND OBEYED. This means ALL TRAFFIC SIGNALS
AND STOP SIGNS. Cyclists MUST RIDE IN THE BIKE LANE ON RIGHT HAND SIDE OF TRAFFIC LANES AT ALL TIMES while on Team Mango Bike Courses.
FAILURE TO OBSERVE TRAFFIC LAWS WILL RESULT IN DISQUALIFICATION. NO DRAFTING or MOTOR-Pacing, NO HANGING ON MOTORIZED VEHICLES,
NO CUTTING THE BIKE COURSE, NO LITTERING, GOOD SPORTSMANSHIP WILL BE OBSERVED AT ALL TIMES.
RUN: While on the Run course participants will Observe All Hawaii Traffic Laws, and run in the RUN LANE on the Ocean side of Alii Drive ONLY, NO
RUNNING in the Traffic Lanes at ANYTIME. NO LITTERING, NO CUTTING THE RUN COURSE, NO FORWARD MOVEMENT FROM ANY MOTORIZED
VEHICLES, BICYCLES, or any other Wheel Vehicle. NO CUSSING or YELLING at Team Mango Races VOLUNTEERS, SPECTATORS, or COMPETITORS
OUTSIDE ASSISTANCE and AID ALLOWED. PLEASE KOKUA BY SHOWING THE ALOHA SPIRIT WHILE PARTICIPATING IN TEAM MANGO EVENTS
Team Mango Races Club Dry Fit Tech T-Shirt
additional $10 with paid 1-Day Club Membership
(Mens____ / Womens____)           XS____ SM____ MED____ LG____ XL____ XXL____
TRIAL 1-DAY CLUB MEMBERSHIP
Make donations payable to: Team Mango Races
Mail Application to: Team Mango Races, PO BOX 16 Holualoa, Hawaii 96725

Signature:____________________________________________________Date:_____________
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY
AGREEMENT WITH PARENTAL CONSENT ("AGREEMENT")
IN CONSIDERATION of being permitted to participate in any way in any Team Mango Club event ("Activity") at any time during the current calendar year I,
for myself, my personal representatives, assigns, heirs, and next of kin:

1. ACKNOWLEDGE, agree, and represent that I understand the nature of the Activity and that I am qualified, in good health, and in proper physical
condition to participate in such Activity. I further agree and warrant that if, at any time, I believe the conditions to be unsafe, I will immediately discontinue
further participation in the Activity.

2. FULLY UNDERSTAND that: (a) THIS ACTIVITY INVOLVES RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT
DISABILITY, PARALYSIS, AND DEATH ("Risks"); (b) these Risks and dangers may be caused by own actions or inactions, the actions or inactions of others
participating in the Activity, the conditions in which the Activity takes place, or THE NEGLIGENCE OF THE "RELEASES" NAMED BELOW; (C) there may be
OTHER RISKS or SOCIAL AND ECONOMICS LOSSES either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME
ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation, or that of the minor, in the
Activity.

3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the sanctioning organization(s), their administrators, directors, agents, officers, members,
volunteers, and employees, other participants, officials, rescue personal, sponsors, advertisers, owners and lessees of Premises on which the Activity is
conducted, (each of the forgoing shall be considered one of the RELEASEES herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES
ON MY ACCOUNT CAUSED, OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE,
INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION RISK,
AND INDEMNITY I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE
RELEASEES from any litigations expenses, attorney fees, loss, liability, damage, or costs which may incurred as the result of such claim.

I ACKNOWLEDGE THAT I AM OVER THE AGE OF 18 YEARS, HAVE READ THIS AGREEMENT AND FULLY UNDERSTAND ITS TERMS,
UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT
OR ASSURANCE OF ANY NATURE, AND I INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE
GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID, THE
BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.

CLUB NAME; TEAM MANGO RACES

PRINTED NAME OF PARTICIPANT: ____________________________________________________________________________

PARTICIPANT'S SIGNATURE: ________________________________________________________________________________

ADDRESS: ______________________________________________________________________________________________
                                                            (Street)                                                                         (City)                                                           (State)                                                   (Zip)

PHONE: ___________________________________                    DATE: _______________________________________________

                   Below section must be completed by Parent/Guardian for any participant under the age of 18

                                                                                      MINOR RELEASE
AND I, THE MINOR'S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF THE ACTIVITY AND THE MINOR'S EXPERIENCE AND
CAPABILITIES AND BELIEVE TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY. I
HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEES
FROM LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR'S ACCOUNT CAUSED, OR ALLEGED TO BE CAUSED, IN WHOLE OR IN
PART BY THE NEGLIGENCE OF THE "RELEASEES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND FURTHER AGREE THAT IF,
DESPITE THIS RELEASE, I, THE MINOR, OR ANYONE ON THE MINOR'S BEHALF MAKES A CLAIM AGAINST ANY OF THE RELEASEES NAMED ABOVE,
I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY,
DAMAGE, OR ANY COST THAT MAY OCCUR AS A RESULT OF ANY SUCH CLAIM.

PRINTED NAME OF PARENT/GUARDIAN:
___________________________________________________________________________
                                                                                                                                                                                    I HAVE READ THIS RELEASE      

PARENT/GUARDIAN SIGNATURE (only if participant is under the age of 18):
________________________________________________________  

ADDRESS:
__________________________________________________________________________________________________
                                                                    (Street)                                                                   (City)                                                                    (State)                                                (Zip)


PHONE: ___________________________________________              DATE: _____________________________________________________