UM Australia | 8 – 10 May 2021

**July 2020 Update**

The UM Australia team are working to release further information for our next race scheduled for May 2021.

This process has been delayed due to the current environment and information for new applicants will be released as soon as possible.

We appreciate your patience during this time.

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Application Timeline:

May 1, 2020……….. Applications open
June 15, 2020……… Applications Close at 5.00pm Eastern Standard Time*
June 15, 2020……… Application Review Committee selection process begins
June 30, 2020……… Invitations emailed and entry fee processed in full
*Applications may stay open at the discretion of the Race Director

Instructions:  

1. Read the Application Information Guide.
2. Upload a recent, reasonable quality photo.  Consider that, if selected, this photo will be used on this website and in our social media profiles.  No hats, sunglasses, pets or other people, please.
3. Answer all questions in the spaces provided.
4. Acknowledge the Waiver, and the Refund and Withdrawals Policy by checking the boxes.
5. Submit the completed application by clicking on the “submit” button at the bottom of the form.
6. The entry fee of AUD $2,100 will be charged to your credit card after you accept our official Invitation To Race.

Note:  UM Australia is an independent event, and is not affiliated with any other Ultraman distance event, nor any other event with a similar name.

Application Form

If you are human, leave this field blank.

First Name *

Middle Name or Initial

Last Name *

Mailing Address *

City *

State *

Postal Code *

Country AustraliaAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaArubaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCote d’IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (see Timor-Leste)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNauruNepalNetherlandsNetherlands AntillesNew ZealandNicaraguaNigerNigeriaNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe

Email Address *

Phone Number *

Mobile/Cell Phone *

Which country are you representing *

Occupation *

Social Media Identifiers (@twitter, #instagram, Facebook etc – to share your results and progress if invited to participate)

Triathlon Australia (or Affiliate) Membership Number (Non-members will be charged an extra AUD 25.00 at the time of registration to cover Triathlon Australia event membership).

If Affiliate, name of organisation

Date of Birth (Day/Month/Year) *

Day/Month/Year

Age on May 9, 2020 *

Gender *

Male

Female

OtherOther

Jacket Size, Gender Specific *

XS

S

M

L

XL

2XL

Women’s sizes translate to Australian 8 = XS, 10 = S, 12 = M, 14 = L, 16 = XL, 18 = 2XL

Payment Details

Card Type *

Visa

Mastercard

AMEX not accepted.

Expiry Date *

Month / Year

Name on card *

Card Number *

Credit Card CCV *

3 Digits on the back of card

Authorisation to charge fees to card *

Yes, i agree to authorise fees to be charged

The entry fee of AUD$2100 will be charged to your credit card when your invitation is extended. Triathlon Australia Event Membership Fee (AUD$25.00) will be charged if TA or Affiliate non-member.

Qualifying Event

List one (1) Iron Distance or longer race completed during the previous 18 months. It is required that your finishing time be under 14 hours 30 minutes for the Iron Distance.

Race Name *

Race Date *

Finishing Time *

Result link to this event *

Veterans

**List only your most recent Ultraman Distance Race.**

Qualifying Event

Australia

Hawaii

Florida

Canada

Israel

Brazil

Texas

Spain

Mexico

OtherOther

Qualifying Year

Qualifying Time

Unless your latest Ultraman distane event has been within the last two years, you will need to have a qualifying Iron Distance race in the previous 18 months. List your result above under the Qualifying Event.

Estimate Swim Time

Select your estimated swim time (10km Open Water)

Swim Time *

2.5 – 3 HRS

3 – 3.5 HRS

3.5 – 4 HRS

4 – 4.5 HRS

4.5 – 5 HRS

5 – 5.5 HRS

OVER 5.5 HRS

Additional Information or Race Results for All Applicants

Why are you entering Ultraman Australia? (50 words, will be published if you are invited to participate)

Waver and Release Form *

Acknowledgement Waiver & Release from Liability

Read carefully and check. Read Waiver

Refunds and Withdrawls *

Acknowledgement Refunds and Withdrawls

Read carefully and check. Read Policy

Upload Photograph (will be published if you are invited to participate) *

Drop a file here or click to upload Choose File

Maximum upload size: 134.22MB

Acceptable file types: doc,pdf,txt,gif,jpg,jpeg,png. Maximum file size: 1mb.

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