Duathlon 111 (Middle Distance) - CHTRIMAN GRAVELINES 2024

MINOR PARTICIPANT

As part of the law on the acceleration and simplification of public action of December 7, 2020, Decree No. 2021-564 of May 7, 2021 therefore provides that it is no longer necessary, for minors, to produce a medical certificate for registration in a sports competition organized by a federation. However, the production of such a certificate remains when the answers to the minor's health questionnaire lead to a medical examination.

Legal representative of the minor

FFTRI health questionnaire

I certify on my honor that my child answered NO to all the questions in the FFTRI health questionnaire.My child answered YES to at least one of the questions on the FFTRI health questionnaire.

Medical proof (if health questionnaire is invalid)

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HEALTH INFORMATION FORM

In compliance with the French Sport Law of March 2, 2022, the French Triathlon Federation, on the favorable opinion of its National Medical Commission issued on February 09, 2023, has decided to remove the requirement to present a medical clearance certificate stating that there are no contraindications to the practicing sport, and to replace it with this form.

WARNING

In the course of the past 12 months, have you felt/experienced:

Chest pain after exertion?
Palpitations (unusual perception of heartbeat - irregular and/or rapid - of short or more or less extended duration)?
Discomfort during exercise?
Sudden loss of consciousness, either at rest or while exercising?
Unusual shortness of breath on exertion?

If you answered yes to any of the previous questions, it is imperative and URGENT that you consult a doctor before pursuing training or/and competing.

FIS 1

By checking this box, I indicate my understanding that these symptoms may be signs of cardiac pathology at risk for my health, and potentially be life-threatening.

For more information on cardiovascular risk and sporting activities, please refer to the following content : Appendix

FIS 2

By checking this box, I indicate that I understand the need to carry out a medical check-up in the event of experiencing the symptoms listed previously and which I have not yet had investigated by a doctor

CAUTION

Has a member of your family (parent, sibling, child) suddenly passed away from a heart-related or other unexplained cause?
Has a member of your family (parent, brother, sister) suffered from heart disease before the age of 35?
Did you engage in intensive physical activity without undergoing a medical check-up after the age of 45 (woman) 35 (man) to assess your cardiovascular risk?
You have at least two of these cardiovascular risk factors, namely:
- You are over 50 years old,
- Active or weaned smocking for less than 3 years,
- Diabetes of any type,
- Cholesterol abnormality,
- Hypertension;
Are you being monitored for a chronic disease?
Are you still competing and/or engaging in intensive physical activity after the age of 60?
Have you experienced an unexplained decrease in your performances over the past twelve months?

If you have answered yes to any of the above questions, it is essential that you seek medical advice or even undergo a medical check-up before continuing to practice triathlon and its associated disciplines, with or without competition.

FIS 3

By checking this box, I declare understanding that my family history, any cardiovascular risk factors or chronic illnesses may increase the risk of taking part in triathlon or its associated disciplines, and that I should seek medical advice to ensure the safety of my sporting activities

FIS 4

By checking this box, I declare understanding that a medical check-up at certain stages of life is necessary to : take into account the state of my health, the training involved in triathlon, and its associated disciplines, and its as well as the risks associated with intense practice of the sport

FIS 5

By checking this box, I undertake to apply the 10 rules of good sports practice published by the Club des Cardiologues du Sport, which can be consulted HERE (French document). You can find the traduction HERE.

VIGILANCE

If :

You have never had an electrocardiogram in your life,
In the last 12 months, you have stopped sport for more than 30 days for health reasons,
You think you may have a food problem, or if someone has ever commented on it,
You are a woman and have not had your period for over 3 months,
You have had a head injury or concussion,
You simply think you need medical clearance to continue practicing your sport.

Therefore, it is strongly recommended that you consult your doctor to discuss these points, and even carry out a check-up, before continuing to intensify your practice.

FIS 6

By checking this box, I understand that certain situations or symptoms may entail a risk to my health and/or performance.

For more information on the different medical risks associated with your sporting activities, please consult the following content : Appendix

GOOD PRACTICE

The French Triathlon Federation provides its members and competitors with information/recommendations on the following subjects (see appendix and/or web link):

Musculoskeletal disorders : (appendix)
Nutrition : (appendix)
Use of dietary supplements : (appendix)
Anti-doping : ttps://triathlon.org/search#q=doping
Leptospirosis : https://www.pasteur.fr/en/medical-center/disease-sheets/leptospirosis

FIS 7

By checking this box, I declare having read and understood all the information and alerts indicated at the various stages of this Health Info Form of the French Triathlon Federation.

FIS 8

By ticking this box, I declare taking or having taken the necessary precautions as a result - appropriate medical consultation and, if necessary, temporary interruption of the sporting activity - enabling me to train or take part in a triathlon competition and its associated disciplines, limiting the risk to my health as much as possible.

Finally, because three simple gestures - cardiac massage / call / using a defibrillator - can save lives, including in sport, the French Triathlon Federation encourages you to train in lifesaving gestures: "every minute saved is 10% more chance of survival".

Spread the word around you.

LICENSEE ITU:

Please provide us with a photocopy of your 2024 I.T.U license

License ITU 2024

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Download rules 2024

2024 rules

I have read the entire rules and I accept all the conditions as well as the conditions of the registration platform (Prolivesport)

Accept F.F.Tri.

yes

Consentement pour un licencié ITU mineur

itu_licensed_minor_consent

Consent for an adult ITU licensee

itu_licensed_major_consent

TIME LIMITS

By committing to the Chtriman 226, I am aware that the organization has set up time barriers or time limits by discipline. The referees, by decision of the race director, are authorized to exclude me from the race, in the event of exceeding one of these time limits.

Swimming = 09:00 a.m or 2 hours of racing

Cycling = 5:00 p.m. or 10 hours of racing

Running = 8:30 p.m. to start the last lap, 13h30 of racing

I wish to benefit from the cancellation guarantee and add the premium of 15 € to the payment of registration fees

Yes [+ 15 €]No

By opting for this guarantee, I acknowledge having read its operating procedures. www.chtriman.com

I accept

Person to contact in case of emergency

Emergency contact name

First name of emergency contact

Emergency contact GSM phone number

RIGHT TO IMAGE

Each participant may inform the organizer in writing that he is opposed to the transfer of his image. Failing this, by the acceptance of the present general conditions of sale, each participant expressly authorizes the organizer as well as his successors as partners and media, to use the still or audiovisual images on which it could appear, taken occasionally. participation of the event, in all media, including promotional and / or advertising material, worldwide and for the longest duration provided by law, regulations, treaties in force, including for any extensions that could be made to this duration. Participants are also informed that on the day of the event, piloted aircraft (drones) may be used for filming. Contact information of the head office of the organizer: All postal mail, excluding sending of supporting documents related to a registration, should be addressed to: Hauts de France Triathlon Organization, Maurice Baude Complex, Route de Bourbourg, 59820 Gravelines

CONTENT OF REGISTRATION

Your registration includes:

Your bib
A swimming cap
A medal (only for finishers)
A technical jersey (only for finishers)
A reusable cup (only for finishers)

Your registration includes:

Your bib
A swimming cap
A reusable cup

CHTRIMAN'S SHOP

For the first time we will set up (June 29 and 30, 2024) a store entirely dedicated to products derived from Chtriman - Gravelines. You can purchase souvenirs at full price!

SPECIAL INFORMATION

By answering this question, you will facilitate the action of the organizers, particularly when ordering finisher jerseys for the Sunday events. I am aware that this questionnaire is a basis for statistical work and should not be considered as a firm order for the personalized supply of the souvenir jersey for the Sunday Chtriman events. Please note, the size of the swimsuit depends on the chosen service provider. The organization cannot be held responsible in the event of a stock shortage in a certain size.

SOCIAL NETWORKS

Follow Chtriman - Gravelines on the social networks:

Facebook : @ChtrimanGravelines
Instagram : chtriman_gravelines
Linkedin : Chtriman - Gravelines

Do not hesitate to identify us to share your preparation!