Hui O Mana Ka Pu`uwai Outrigger Canoe Club
Welcome to Pu'uwai     TriKauai Triathlon     Kauai Youth Conference     Join Us     Youth Programs     Bright Stars     Club Photos     Prayer     Contact Us      
Registration     History     Pictures     Video      
TriKauai On-line Competitor Registration
(Press the SUBMIT button at bottom to complete processing)
 
Event Date *
Division *
Entry Type *
Name - Last, First (1) *
Gender (1) *
Date of Birth - m/d/yyyy (1) *
Race Legs (1)
Address - Street, City, ST, Zip (1)
Phone Number (1)
Email (1)
Shirt Size (1)
Name - Last, First (2)
Gender (2)
Date of Birth - m/d/yyyy (2)
Race Legs (2)
Phone Number (2)
Email (2)
Shirt Size (2)
Name - Last, First (3)
Gender (3)
Date of Birth - m/d/yyyy (3)
Race Legs (3)
Phone Number (3)
Email (3)
Shirt Size (3)
Advance Payment Option
I agree to this waiver
Waiver Initials/Name *

TriKauai Registration Process, Payment, & Waiver

(Read the waiver below and indicate agreement on the registration form)

This on-line registration form may be used instead of mailing or emailing a completed registration form as found on the main TriKauai page.  Please be sure to provide information for all participants (1, 2, & 3) if entering the triathlon as a team.  If you are entering the triathlon as an individual or as part of the fun run/walk, provide information for participant 1 only. You will be presented with a confirmation message upon successfully submitting your on-line registration.  All registrations, including those done on-line, should be submitted by no later than 5:00pm on March 28, 2010 for the next triathlon event.  Late registrations after this deadline will be accepted for an increased fee of $75 for TriKauai Individuals and $120 for TriKauai Teams.  Race t-shirts for all participants are included in the registration fees, but are not guaranteed for late registration. In order to complete the on-line registration, you must by law be 18 years of age or older.

PAYMENT OPTIONS:  Participants registering via this on-line form (as well as those using the standard form) may pay in advance by credit card using the Pay Now button below.  Credit card transaction processing is provided by PayPal. Alternatively, you can pay in advance by check sent via standard mail, or at packet pickup with cash or check.  All checks payable to Pu`uwai Canoe Club.  If sending a check via standard mail, address to Pu`uwai Canoe Club, P.O. Box 1593, Kapa`a, HI 96746.  A $5 discount is available for members of the military competing in the triathlon as an individual. If you qualify for this discount, please be sure to select the appropriate option if paying via credit card below and be prepared to present your military ID at packet pickup.  Please note that credit card payments will NOT be accepted at packet pickup, and must be received via this website prior to the deadline noted above.

 

 

WAIVER AGREEMENT:  READ THIS DOCUMENT CAREFULLY. THIS WAIVER AGREEMENT WILL AFFECT YOUR LEGAL RIGHTS, AND WILL LIMIT OR ELIMINATE YOUR ABILITY TO BRING A FUTURE LAWSUIT.  In consideration of being allowed to participate in the TriKauai Triathlon, the undersigned fully understand that they are participating in a Triathlon.  They will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions or negligence, but the actions, inactions or negligence of others.  They hereby release, waive, discharge and understand that they may not sue Pu`uwai or Kukui`ula Outrigger Canoe Clubs or TriKauai Triathlon, its members or sponsors.  Additionally, they also release, waive, discharge, and convey all rights to any photos, video etc. taken at this public event to Pu`uwai  and Kukui`ula Outrigger Canoe Clubs for use at their discretion for advertising & purposes.  All participants, as well as their responsible parents/guardians where indicated, have:

  • read the above waiver and release,
  • understand that they have given up substantial rights,
  • acknowledge this by selecting the I agree to this waiver check box, and
  • confirm their signing of the waiver agreement by entering their initials or full names

 

When signing the waiver, please provide:

  • initials of the athlete over 18 years of age, or
  • full name of the parent/legal guardian of minor athletes under 18 years of age, or
  • full name of the parent/legal guardian of incapacitated/mentally challenged athletes.