TEAM MANGO RACES
1-DAY CLUB TRIAL MEMBERSHIP
TRIAL CLUB MEMBERSHIP $45. Your Donation gives you club member support along with finish time and time splits at TMR
scheduled event. Club Donation donors receives a custom Team Mango Club T-Shirt designed by Carl Ko'omoa Five Original
T-Shirt designs to choose from. One-Day Club Members enjoy discounts from TMR SPONSORS up to 30%.

WINTER SPRINT TRI___ / SPRINGTIME TRI___ / SPRINT TRI___ / TRASHCAN TRI___

SUMMER SPRINT TRI___ / PRE-IM TRI___ / MORNING AFTER TRI___ / POST-IM SPRINT TRI___
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 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 Races Club T-Shirt only $10 with 1-Day Club Memberships (Club Shirts Regularly $45)

XS____ SM____ MED____ LG____ XL____ XXL____

Signature:____________________________________________________Date:_____________
Team Mango Club Membership Fee