TEAM RELAY ONE-DAY CLUB MEMBERSHIP ($75 PER TEAM)

EVENT:_____________________________________ DATE:_____________
RELAY SWIMMER 1-DAY CLUB MEMBERSHIP
SWIM

Last Name ______________________________________

First Name ___________________________ MI ________

Address ________________________________________

Town _________________________________________

State / Provence _________________________________

Zip / Country Code _______________________________

Country ________________________________________

e-mail __________________________________________

Contact Phone (______) ________ - _________________

Gender  M___   F ___      D.O.B.  ________________


T-Shirt size:  Sm ___  Med ___  Lg ___  XL ___  XXL ___

Amount donation enclosed $75 per Team

Mail in your filled out club membership forms signed please
and all donation made payable to:
Team Mango Races, PO BOX 16, Holualoa, HI 96725
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 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.
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 ___/___/20___
RELAY BIKER ONE-DAY CLUB MEMBERSHIP
BIKE

Last Name ______________________________________

First Name ___________________________ MI ________

Address ________________________________________

Town _________________________________________

State / Provence _________________________________

Zip / Country Code _______________________________

Country ________________________________________

e-mail __________________________________________

Contact Phone (______) ________ - _________________

Gender  M___   F ___      D.O.B.  _________________


T-Shirt size:  Sm ___  Med ___  Lg ___  XL ___  XXL ___

Amount donation enclosed $75 per TEAM

Mail in your filled out club membership forms signed please
and all donation made payable to:
Team Mango Races, PO BOX 16, Holualoa, HI 96725
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 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.
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 ___/___/20___
RELAY RUNNER ONE-DAY CLUB MEMBERSHIP
BIKE

Last Name ______________________________________

First Name ___________________________ MI ________

Address ________________________________________

Town _________________________________________

State / Provence _________________________________

Zip / Country Code _______________________________

Country ________________________________________

e-mail __________________________________________

Contact Phone (______) ________ - _________________

Gender  M___   F ___      D.O.B.  _________________


T-Shirt size:  Sm ___  Med ___  Lg ___  XL ___  XXL ___

Amount donation enclosed $75 per TEAM

Mail in your filled out club membership forms signed please
and all donation made payable to:
Team Mango Races, PO BOX 16, Holualoa, HI 96725
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 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.
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 ___/___/20___