RELAY ONE-DAY CLUB MEMBERSHIP
Monster
140.6 Triathlon
RELAY TEAM
MONSTER RELAY
SWIM - BIKE - RUN
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 $135 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___
 

MONSTER___  MINI MONSTER___
Relay Team BIKER
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 $135 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___
 
MONSTER___   MINI MONSTER___
Relay Team Runner
RUN

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 $135 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___