Marlborough Duathlon Series 2020 Race 2

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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    Gender -- Male Female Female/Male   Phone #   Address   Emergency contact name   Emergency phone #   MTB or Road Course Choose one MTB Course Road Course   Category Choose one Competitive Men Competitive Women Fitness Men Fitness Women Team U19 Female U19 Male Choose one Competitive Men Competitive Women Fitness Men Fitness Women Team U19 Female U19 Male   Event entry fee TBD

Please review the waiver provided by the event organizer and click the check box below to accept it. Print waiver • I understand that I should not compete in this event unless I have trained appropriately and had any health concerns checked by a medical practitioner. • While every endeavour will be made to ensure my safety, I acknowledge that a competitive triathlon involves the real risk of serious injury or even death from various causes including over exertion, equipment failure, dehydration, accidents with other competitors, spectators or road users, course or weather conditions and other causes. • By competing, I accept all risks necessarily flowing from my participation, which could result in loss of life or permanent injury. Accordingly, I release all persons or corporations associated directly or indirectly with the conduct of the event including sponsors from all claims, demands and proceedings arising out of my participation and I hereby indemnify them against all liability (including liability for their negligence and the negligence of others) for all injury loss or damage arising out of or connected with participation in their event. This release shall extend to and include all sponsors, and their respective directors, partners, managers, officers, agents contractors, employees and volunteers including medical and paramedical personnel appointed for the event, the owners, licensees and occupiers of land upon which the event or any part of it is conducted, any statutory body or local authority having control over any land upon which the event or any part of it is conducted or which is involved directly with the event in any manner whatsoever and promoters, sponsors and event organisers. This release and indemnity continues forever and binds my heirs executors, personal representative and assigns. • Safety precautions undertaken by event organisers, such as course supervision and race safety briefing, are a service to me and other competitors but are not a guarantee of safety. • I consent to receiving any medical treatment that the event organisers think desirable during the event. • As a competitor I agree that Marlborough Sport Development Limited may use my name and any photographs or video taken during the event to be used before, during or after the event for event promotional broadcasting or reporting purposes in any media free of charge. • I agree to my name and contact details being included on the event database, which may be used for commercial purposes. • I am fully responsible for the security of my personal possessions at the event. • I agree to attend and listen to the race briefing prior to the triathlon start. I will abide by all race rules and directions issued by the event organiser and marshals. • I acknowledge that by reason of circumstances beyond the control of the event organisers, it may become necessary or desirable to change the format of the event, and if that occurs, I consent to the changes and I agree that each and every one of the conditions herein set out shall apply to the changed event. I accept the terms of the waiver