TRI TUHOURANGI - TTA WW100 - SPRINT TRIATHLON

TRI TŪHOURANGI ~ TTA WW100 ~ SPRINT TRIATHLON

The Tri Tuhourangi Sprint Triathlon will be held Sun 12 April 2015 9.00am-12.00pm

Below are details with an attached official entry form.

If any further queries, please contact:

Aneta Morgan, Project Manager

Te Arawa Tangata  |  Te Pumautanga o Te Arawa Charitable Trust

Ph: 07 349 0899 Mb: 021 189 2835 Email: aneta@tearawatangata.com

Age range - 13 years and over

INDIVIDUAL ENTRY       

Name:       

Address:       

City:                                                                Age:       

Contact No:       

Email:    

TEAM ENTRY       

Team Name:       

Names    Swim/Bike/Run    Age    Entry Fee       

1                   

2                   

3                       

    

OFFICIAL ENTRY DEADLINE:

Friday, April 10, 2015

EVENT DATE:

Sunday, April 12, 2015, 9.00am – 12.00pm

Compulsory bike safety checks – 7.30am to 8.30am

LOCATION:

Lake Tikitapu, ROTORUA

RACES:

Touhou – Novices: 300m Swim / 10km Bike Ride / 5.35km Run

Matatau – Open: 600m Swim / 10km Bike Ride / 5.35km Run

Waiver, Release and Liability Discharge.

I understand that competing in the Event involves using public areas and roads used by other people and traffic and I am aware of the hazards involved. The hazards include but are not limited to: vehicle traffic, actions of competitors, spectators, Event personnel, weather conditions and my physical and mental state of health. In my judgment I have sufficient competence and experience to participate safely in the Event.

I certify that I am physically fit, have sufficiently trained for participation in the Event and I have not been advised otherwise by a qualified medical person.

I certify that as an individual athlete I will be 13 years of age or older on 11 April 2015.

I will follow the course set out for the Event, abide by the road and Event rules and follow the instructions given to me by Event officials, at all times. Failure to comply in any way with these matters may lead to me being removed from the Event and disqualified (at any time).

I will wear the Event number as directed by the Event officials.

In consideration of the acceptance of my entry, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors and assigns as follows:

I HEREBY WAIVE, RELEASE AND DISCHARGE from any and all liability for death, disability, personal injury, property damage, property theft and all other foreseeable risks, claims or actions of any kind (including negligence) whatever and however occurring which may arise, at any time, from or in connection with, directly or indirectly, my participation in the Event, the following persons or entities: The Event Organisers, Event officials and personnel, volunteers, Rotorua District Council, Bay of Plenty Regional Council, New Zealand Police, Transit New Zealand, and all of their respective officers, directors, employees, independent contractors, representatives, agents and volunteers.

I HEREBY INDEMNIFY AND HOLD HARMLESS the persons or entities mentioned in 7(a) above from any and all liabilities, claims or actions (including negligence) whatever and however caused which may arise, at any time, as a result of or in connection with, directly or indirectly, my participation in the Event and vis-à-vis any third party, as far as this third party suffered any damage or injury during the Event due to my participation in the Event.

I acknowledge that the Event Organisers reserve the right to alter the advertised course or start time (at their absolute discretion).

I consent to receive any medical treatment that may be deemed necessary in the event of injury, accident or illness during the Event, and I allow that information to be passed on to the Event Organisers or third parties (as deemed necessary by the Event Organisers).

I authorise the use of my name, voice and picture and any information provided by me on this entry form to be used without payment in any broadcast, telecast, communication, promotion, or advertising, and I also agree that the information I have provided may be used by the Event Organisers for the purpose of promoting future or other events or for the promotion of the Event charity(ies), race sponsors products and services.

I have read all the Event safety information, rules and conditions detailed in this form and on the entry form and I agree to adhere to these rules and conditions at all times.

I have read and voluntarily sign this Waiver, Release and Liability Discharge Form and explicitly agree to its content.

Name (Print)    Signature       

1.           

2.           

3.        

Date:…………………………………………………………………………………………..

TRI TŪHOURANGI Entry Form FINAL  

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