1-DAY CLUB Trial MEMBERSHIP
MONSTER 140.6 TRIATHLON
KAILUA-KONA, HAWAII
PRINT CLEARLY PLEASE


Last Name _____________________________________First Name ___________________________MI ________

Address _____________________________________________________________________________________

Address______________________________________________________________________________________

State / Provence ______________________________________________Zip / Country Code ___________________

Country _______________________________________________________________________________________

e-mail ________________________________________________________________________________________

Contact Phone while in Kona (_________) ____________________________________________________________


Gender M _____   F _____     D.O.B. ___________    T-Shirt size: Sm _____  Med _____  Lg _____  XL _____  XXL _____

ADDITIONAL MONSTER T-SHIRTS (
UPON AVAILABILITY) $25.00
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. ______initial

I agree to comply with rules, regulations, and event instructions of the Monster and Mini Monster Triathlon. I understand that participating in an Ultra Distance
Triathlon is potentially hazardous activity and can be result in serious injury or death. _____intial

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 Monster and Mini Monster 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


SIGNATURE_____________________________________________________________DATE _________________

MONSTER 1-DAY CLUB MEMBER $85
MONSTER PARTICIPANTS BIKE/ RUN SUPPORT CREW MANDATORY

Mail your application completely filled out, and signed with your 1-DAY Monster/ Mini Monster Payment to:
TEAM MANGO RACES
PO BOX 16
HOLUALOA, HAWAII 96725
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: _____________________________________________________