Team Mango Races
SINGLE EVENT CLUB MEMBERSHIP $25.00
JOURNEY -2- LaLa LAND
17 mi. Hill Climb w/ 5,500 ft. Elevation Gain

RUNNER_______       or      CYCLIST_______

Name ___________________________________________________________________________
     Last Name                                            First Name                                             Middle Initial

Age__________ Gender: M____ / F____  Contact Phone: (_____) __________________________

Address: ________________________________________________________________________

Town/City:_____________________________________________State____________________

Zip /Country Code:_______________ Country _______________________________________

Contact Phone: (_____) _________________e-mail:_______________________________________
Club Members Release

Release
: 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 BIKE or
RUNNING event is potentially hazardous activity and can be result in 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
CYCLING. ____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
GOOD SPORTSMANSHIP will be observed at ALL TIMES. 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. 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

Signature:________________________________________________Date:______________