MIDBAY MOTORSMULTI SPORTS CHALLENGE
TSA NUMBER / Event Date / 18/09 / 13/11D.O.B / AGE / SEX / I.D. NO
INDIVIDUAL NAME / CELL NO.
TEAM NAME / EMAIL
TEAM MEMBER 1: / AGE
TEAM MEMBER 2: / AGE
TEAM MEMBER 3: / AGE
EMERGENCY CONTACT NAME & NO.
Please indicate which distance you will be racing / S/SPRINT / SPRINT
U10 / U13 / U16 / OPEN 17 - 39 / VETS 40 - 49 / MASTERS 50+
Road Triathlon / Off-Road Triathlon / Walk Triathlon / Canoe Road
Road Duathlon / Off-Road Duathlon / Walk Duathlon / Canoe Off Road
race DISTANCES AND ENTRY FEES
Swim/Run/Canoe
/ Cycle / Run / Start / Entry FeesJuniors Under 10 / 100m swim / 2.5 km / 1 km / 08h20 / R60
Super Sprint Triathlon / 200m swim / 5km / 1.25km / 08h10 / R80
Sprint Triathlon / 600m swim / 20km / 5km / 08h00 / R100
Super Sprint Duathlon / 1.25km run / 5km / 700m / 08h10 / R80
Sprint Duathlon /
5km run
/ 20km / 2.5km / 08h00 / R100Canoe Triathlon (17 to 50+) /
4km canoe
/ 20km / 2.5km / 08h00 / R100Team Events / R120
/ 1. / Entry form & proof of payment faxed to 086 520 7582. Bank details: Zululand Multi Sport Club, FNB, RichardsBay,
Branch code: 220830, Account No: 54901205334. Surname/Team Name as a reference please!!!
2. / Manual entry and payment at Zululand Multi Sport Club
3. / Registration at Zululand Multi Sport Club on the Saturday before each event 15h00 – 17h00
4. / LATE ENTRIES – Race day at Zululand Multi Sport Club. No late entries after 07h00. R20 penalty will be added for late entries.
Registration: Registration – Zululand Multi Sport Club every Saturday prior to the event from 15h00 – 17h00. Please bring proof of payment to registration.
Late entry and registration:Late entry and registration closes 1 hour before the event starts. No entries or registration will be done after this time.
Prize money:Prize money will be paid out to Series Winners in each age category AT THE END OF THE SERIES.
Body marking will take place on race morning.
Prize giving: Prize giving will take place at ± 11h00 at the race venue
Contact details: Trish Hodgson 035 787 2190/1 weekdays from 07h30 – 16h30
Team Entries: REMEMBER! If you are entering a mixed age-group team, your team will be in the age category of your oldest athleteR90p/t
RULES AND REGULATIONS
1. / All road rules must be adhered to.2. / Cyclists must ride in a responsible manner and obey all traffic officers and marshalls
3. / All athletes must ensure that they know and understand the route for the event they have entered
4. / Entrants must complete the race along the route and entirely under their own power
5. / Before entering any of these events, ensure that your state of health (to the best of your knowledge) is good and that you are physically able to complete the distance you have selected
6. / Failure to comply with any of the rules will result in disqualification. The ruling of the organizers will be final in any dispute of whatever nature
7. / HARD SHELL HELMETS ARE COMPULSORY
INDEMNITY.
I agree to abide by the rules of the event set down by Triathlon South Africa and the organisers and understand that I take part in the event entirely at my own risk and indemnify anyone included in the organisation of the event, marshals, referees, KZNTA, MidBay Motors, local authorities and the ZMSC against any claim which may result from my participation.
SIGNED / DATEParent or Guardian if under 18 years old.