Pink Lady Triathlon 2020

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Team name   First name   Last name   Email address   Date of birth DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31    MM 01 02 03 04 05 06 07 08 09 10 11 12       YYYY 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921    Phone #   Address   Emergency contact name   Emergency phone #   Package Choose one Event Only Training & Event   DIstance Choose one Long 350S|10B|2.5R Short 150S|5B|1.5R Choose one Long 350S|10B|2.5R Short 150S|5B|1.5R   Event entry fee TBD

If you would like to make a additional donation, 100% of your donation will go to our selected charity, Townsville's Women's Shelter NoYes AUD T Shirt Size  * Please choose size 8 10 12 14 16 18 20

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Please review the waiver provided by the event organizer and click the check box below to accept it. Print waiver Pink Lady Triathlon 2020 Waiver WARNING: This is a legal document and a contract which affects your rights I agree to participate in the Pink Lady Triathlon 2020 event, in which I am entering, on the following basis: 1. By participating I accept all risks necessarily from my participation which would result in loss of life or permanent injury. o Accordingly I release all people associated with the conduct of events from and will indemnify them against all liability (including liability for their negligence) for all injury, loss or damage arising out of or connected with my participation in events. o For clarification, the people released include event organisers, promoters, sponsors, managers, Free Radicals Tribe Triathlon Club, Triathlon Australia Ltd, and all of their respective directors, officers, employees, agent, contractors and volunteers including event medical and paramedical personnel. This release and indemnity continues forever and binds my heirs, executors, personal representatives and assigns. 2. I acknowledge that such events involve the real risk of injury or risk of death from various causes, including over-exertion, equipment failure, dehydration, accidents with other competitors, spectators and road uses, the course and weather conditions, just to name a few. 3. I understand that I should not participate in events unless I have prepared appropriately and my physical condition has been verified by a medical practitioner, who has not advised me otherwise. 4. I warrant that I will inspect the Event course and arenas and all fixtures, fittings, equipment, goods, apparatus or other things supplied, provided or used in or related to the conduct of the Event (‘Event Staging Area’) and agree that I will not participate in the Event unless I am completely satisfied with the adequacy and condition of the Event Staging Area. 5. I understand that the information I have provided herein may be included in a Triathlon Australia database and may be disclosed on occasions to the Australian Institute of Sports Commission, State Institutes and Academies of Sport and the Australian Sports Drug Agency. o I also understand that information of a biographical nature including my name, date of birth, home state, results career highlights and interests may be released to the media in response to general requests. o I also understand that professional photography of the event may be carried out and that images may be used for marketing of this and future events and that I may request the organisers to withhold images of myself. 6. I understand that compulsory insurance cover affected for participants in events and training does not cover me for all injury, loss or damage sustained by me, e.g. Heart failure and muscle fatigue. 7. The sanctioning process undertaken by Triathlon QLD and safety precautions undertaken by event organisers (such as course supervision, race safety briefings, bicycle and helmet safety checks) are a service to me and other competitors but are not a guarantee of safety. 8. I agree to abide by all the Rules of Triathlon Australia which relate, in part, to safe and fair sporting practice. 9. I agree to abide by the Triathlon QLD Codes of Behaviour found on the Triathlon QLD website and I agree that I will abide by the rules and conditions of the Event, including those instruction in any literature or verbal or written form. 10. I confirm that I am either (A) A member of Triathlon Australia through a state association or (B) I have entered as a Non Association Member. 11. I certify that I am 18 years of age or older, or that I am the parent / guardian of the athlete competing and I have read this document and fully understand it. *NOTE: If you are under 18 years of age, your parent or guardian must agree with the contents of this Waiver, paying particular attention that this race may involve cycling on an open road where traffic cannot be controlled, as a parent you give your consent and accept full responsibility to assure your child has the necessary skills to race under these conditions. I accept the terms of the waiver Name of parent or guardian who approves this activity