10th Annual Tri for Malawi Registration Form
Thank you for your interest in AGE Africa's 10th Annual Tri for Malawi! We look forward to having you on our team.

To register for this year's event, please fill out the form below. In order to register you as part of our team, AGE Africa will have to enter your registration, so we are collecting the same information the race organizers would ask on this form.

We appreciate your understanding of the updated registration process for this year's race. If you have any questions, please contact Christina at chernandez@ageafrica.

Your Name *
Please provide us the name you would like to be registered under for the race.
Your answer
Email Address *
Please provide your preferred email address to receive race-related information and updates from the race organizers and AGE Africa.
Your answer
Do you have an Active.com account? *
If you have an Active.com account, AGE Africa will be contacting you before we register you. If you have any questions about this question, please contact Christina at chernandez@ageafrica.org.
Are you are returning AGE Africa Triathlete?
Which category will you be participating in? *
If you are part of a Relay, what is your Team Name?
This is a required field for any team captains and team members.
Your answer
If you are part of a Relay, which leg are you competing in?
Gender *
Date of Birth (mm/dd/yyyy) *
Phone Number *
Please provide the best number to reach you for race related information and updates from the race organizers and AGE Africa.
Your answer
Mailing Address *
Include your full street address, city, state and zip code.
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Did you enter they year's Escape from Alcatraz Random Drawing? *
Are you interested in competing at Escape From Alcatraz in the future? *
Are you are member of a Tri Club? *
If you answered "yes," what is the name of your Tri Club?
Your answer
Do you workout at your local gym? *
If you answered "yes," what is the name of your gym?
Your answer
Would you like to be included in the Gryphon Technologies Military Challenge Division? *
If you answered "yes," which branch of the military will you be representing?
Preferred T-Shirt Cut? *
Preferred T-Shirt Size? *
How often do you compete in triathlons? *
I agree to all the required waivers from the event organizers. *
If you do not agree, we are unable to register you for the race.
Electronic Signature *
Please type in your name to serve as your electronic signature.
Your answer
Never submit passwords through Google Forms.
This form was created inside of Ageafrica.org. Report Abuse - Terms of Service