RACE REGISTRATION

October 16, 2011 (Sunday) 6:00 am Ayala Alabang Village, Muntinlupa City
Sprint Distance: Super Mini Sprint: Mini Sprint : Resident: Relay:
Full Name Date of Birth (day /mo /yr): Home Address: Relay Team Members: 1. Telephone #s: Age (2011 less birth year)

900m Swim, 30.4 km Bike, 7.1 km Run 600m Swim, 17.2 km Bike, 3.5 km Run 300m Swim, 12.0 km Bike, 2.8 km Run 900m Swim, 30.4 km Bike, 7.1 km Run 900m Swim, 30.4 km Bike, 7.1 km Run

A member of ITU

Team: Gender: Male Female

2. E-mail:

Payment Info:

Amount: P_______

Received by: ___________ of:___________ WAIVER / RELEASE FORM

Date:

____2011

In consideration of my entry, I, my heirs, executors and administrators release and forever discharge the Triathlon Association of the Philippines (TRAP), the host (Ayala Alabang Village Association), LGU or Client, its officers, staff, sponsors, servants, agents and subcontractors, instrumentality, and all voluntary community groups, and all organizations assisting this event, sponsors, producers, their agents and representatives of all liabilities, claims, damages or cost which I may have against them arising out of, or in any way connected with my participation in this event, I understand this waiver includes claims based on negligence, action or inaction of any above parties, I fully recognize the difficulties of this event and declare that I am physically fit and able to compete in this event safety, and not have been told otherwise by a medically qualified person. Furthermore, I certify that I have secured for myself a life and accident insurance coverage up to the third party liability to answer for any damages or loss of life and property that may occur in this particular event. I agree that in the event of race cancellation due to storm, rain, inclement weather, wind or any other unforeseeable, or act of God conditions, my entry fee shall be non-refundable & Transferable. I have carefully read this entry form and agree to abide by all rules and directions of all race officials on the day of the race.

Participants Printed Name(s) & Signature(s) ----------------------------------------------------

Signature and Name of Participants Guardian if participant is below 18 years old --------------------------------------------------- ------------------------------------------

Athletes Name: ___

Entry Fees:

2011 SPEEDO National Age Group Triathlon Series

of __ Date:

RECEIPT for Registration

Amount Paid: PhP________ 2011

Entry fee received by:

Sprint : (individual): P1,700 (August 1-31); P2,200 (September 1-30); P2,700 (Oct. 1-9) Mini & Super Mini Distances (individual): P1,500 (August 1-31); P1,800 (September 1-30); P2,000 (Oct. 1-9) Relay: P3,500 (August 1-31); P4,000 (September 1-30); P4,500 (Oct. 1-9) Registration fees are non-refundable & non-transferable. 10% discount for TRI-ID Holder & AAVA Resident
To Register Submit this filled-up form with payment at TRAP Office at Rm. 101 Bldg. B, Philsports Complex, Meralco Avenue, Pasig City, or SPEEDO Concept Stores in Alabang, BHS, Glorietta, Megamall & The Podium or at Bike King (last day of registration at Speedo outlets & Bike King on October 9, 2011) Or deposit payments at: BPI (Tomas T. Carrasco, Jr. C/A No. 0081-0483-63), or PNB (Triathlon Association of the Phils. C/A no. 10023310-0013) and fax entry form and deposit slip with name to Fax # 809-316) Download Entry Form at www.triathlon.org.ph

Categories & Awards Sprint Top 3 Male Age Groups (AG): 16-19; 20-24; 2-29; 30-34; 35-39; 40-44; 45-49; 50-54; 55-59; 60 & above Top 3 Female AG: 16-29; 30-39; 40 & above AAVA Resident: Top 3 Male & Female Relay Team: Top 3 Super Mini Sprint & Mini Sprint: Top 5 Overall Male/ Female Top 3 Overall Male/ Female (13-15)