Entry&Registration

Appendix 2

Guidance on Pre-Race Physical Examinations for Participating Athletes by the CTSA

1. Necessity of Physical Examination

(1) Triathlon sports involve long distances, high intensity, and unstable environmental conditions. The stimulation to the human body is intense and profound, leading to various acute injuries that are inevitable. The main focus of these injuries is on the cardiovascular, respiratory, central nervous, gastrointestinal, and musculoskeletal systems. Severe cases can be life-threatening.

(2) Due to the unpredictable nature of acute injuries, comprehensive physical examinations, symptom monitoring, active prevention and treatment of injuries, and establishment of health records are essential and necessary for athletes. Good physical condition is the foundation for engaging in triathlon sports. Participating in triathlon events while injured increases the health and safety risks for athletes.

(3) In order to ensure the health and safety of participating athletes to the greatest extent possible and establish a proactive prevention mindset, these guidelines for physical examinations have been developed. Athletes who fail to undergo the required health check or whose examination results do not meet the following requirements are not allowed to participate in the event.

2. General Requirements

(1) Pre-Race Physical Examination

Athletes must promptly understand their own health and physical condition and, prior to the race (within a maximum of six months before the race), undergo a physical examination at a hospital of “Level II Class A” or above.

(2) Self-Monitoring

A normal result from a single pre-race physical examination only indicates the health status reflected by the selected examination items. Due to limitations in examination methods and items, it cannot completely eliminate potential risks in the body. Moreover, due to the “variability of human physical conditions,” it cannot prove that athletes are fully capable of safely completing the race. Therefore, each participating athlete must:

A. Proactively ensure good health conditions before the race, without symptoms such as cold, fever, viral or bacterial tonsillitis, pharyngitis, gastroenteritis, and other acute or chronic injuries.

B. Athletes should constantly monitor their own physical condition during the race. If symptoms such as chest tightness, chest pain, palpitations, nausea, breathing difficulties, abnormal fatigue, or other abnormal conditions occur, they should immediately stop the race and seek assistance from the nearest medical point or event staff.

3. Physical Examination Items

The following physical examination items are designed based on common acute injuries in triathlon sports:

(1) General Internal and External Medicine Examination (for all athletes)

Key inquiries and differentiation for participating athletes include the following conditions:

A. Cardiovascular diseases, such as hypertension, valvular diseases, coronary heart disease, and cardiomyopathy.

B. Central nervous system diseases, such as epilepsy and severe neurasthenia syndrome.

C. Family history of sudden death.

D. History of exercise-related stress or acute injuries.

E. Respiratory system diseases, such as allergic bronchial asthma, acute or chronic respiratory infections.

F. Gastrointestinal diseases, such as active stage of digestive ulcers.

(2) Blood Pressure Examination (only for athletes aged 13 and above)

Athletes under 50 years old: Systolic pressure ≤ 130 mmHg (17.3 kPa), Diastolic pressure ≤ 85 mmHg (11.3 kPa).

Athletes 50 years old and above (including 50 years old): Systolic pressure ≤ 140 mmHg (18.6 kPa), Diastolic pressure ≤ 90 mmHg (12 kPa).

(3) Electrocardiogram (ECG) Examination (for all athletes)

ECG reports must be diagnosed by a physician, and the evaluation criteria are as follows:

A. Normal ECG (confirmed by the hospital with no significant abnormalities):

(a) Sinus rhythm.

(b) Adult heart rate of 40-100 beats per minute (heart rate of professional athletes may be lower than 40 beats per minute).

B. Abnormal ECGs that do not meet the participation criteria include but are not limited to:

(a) Sinus tachycardia, adult heart rate > 100 beats per minute; ventricular tachycardia.

(b) Frequent sinus arrhythmia.

(c) Sinus arrest; atrial, junctional, or ventricular premature contractions or escapes.

(d) Sick sinus syndrome.

(e) Second-degree or higher degree blocks such as sinus-atrial, atrioventricular, or left bundle branch block.

(f) Pre-excitation syndrome.

(g) Myocardial ischemia, ST segment depression (including horizontal, down sloping, convex, sagging, and pseudo-ischemic patterns), T-wave changes (including flattening, biphasic, and inversion), prolonged QT interval, inverted U wave, arrhythmias, etc.

(h) Other abnormal ECG findings, such as atrial fibrillation.

(4) “Complete Blood Biochemistry” (optional, as deemed necessary)

Assessment of liver and kidney function, blood glucose, lipid profile, serum electrolytes, cardiac enzyme spectrum, etc.

(5) “Color Doppler Echocardiography” (optional, as deemed necessary)

Assessment of ventricular and atrial function, valve function, myocardial function (contractility and compliance), ejection fraction, and cardiac output, to avoid cardiac structural abnormalities.

Appendix 3

Athletes Agreement

I hereby declare the following regarding my participation in 2024 China∙Weihai Extreme Triathlon Series :

1. I willingly participate in this race and have obtained the consent of my legal guardian or spouse/children.

2. I understand, acknowledge, and agree to comply with and abide by the rules and regulations of the triathlon race.

3. I will not, at any time, make any statements, comments, publications, or provide or sign any malicious or biased declarations that may adversely affect the reputation of the triathlon sport, the China Triathlon Sports Association, and the race organizing committee (hereinafter referred to as the “Committee”) in the public domain.

4. I acknowledge that there are inherent risks of serious injury, including permanent disability or death, associated with participating in or spectating the China Triathlon Sports Association race. I assure the China Triathlon Sports Association and the race organizing committee that I am in good physical condition and capable of participating in the China Triathlon Sports Association race, and that the registration and eligibility materials provided are true and valid. I commit to having undergone a physical examination in accordance with the “China Triathlon Sports Association Athlete Physical Examination Guidelines” and that the examination results meet the participation requirements. During the race, I will continue to monitor my physical condition as per the guidelines, and in the event of any abnormal condition, I will immediately withdraw from the race and seek assistance.

5. I agree that the China Triathlon Sports Association and the race organizing committee shall not be held responsible or liable for any direct or indirect injuries, illnesses, or other personal or property losses suffered by me before, during, or after the race due to personal reasons, third-party actions, or force majeure circumstances.

6. I acknowledge that the insurance coverage requirements set by the China Triathlon Sports Association are the minimum risk protection requirements for participation. The coverage amount of my insurance policy has been chosen considering my own risk tolerance. If an insurance claim arises due to my participation in the race and the coverage amount is insufficient to cover the losses I may incur during the race, neither I nor my relatives, immediate family members, or any other beneficiaries will make any claims against the China Triathlon Sports Association, the race organizing committee, race operators, race sponsors and suppliers, race referees and staff.

7. I hereby grant the China Triathlon Sports Association and the race organizing committee the right to use my image without charge, provided that such use is related to the triathlon event or this specific race. I confirm that I have the authority to grant such authorization, and I agree to compensate the China Triathlon Sports Association and the race organizing committee for any direct or indirect losses incurred as a result of any misrepresentation of this authorization.

8. I agree that in the event of race cancellation or changes in race time or format due to force majeure or other objective reasons, I will comply with the decisions made by the race organizing committee regarding any related expenses. If I am unable to participate in the race due to personal reasons, I do not require the organizing committee to refund any fees or assume any losses incurred from the expenses already paid or incurred during the registration process.

9. Definitions:

(1) “Image rights” include the rights to use the athlete’s name, photographs, likeness, signature, as well as any related or similar names, logos, images.

(2) “China Triathlon Sports Association race” refers to any triathlon race organized or hosted by the China Triathlon Sports Association.

10. I hereby acknowledge that I fully understand the above terms and recognize that this declaration has legal effect.

Signature of Declarant:

Date:

Guardian Statement for Minor Athletes

(Only for athletes under 18 years of age or other persons with limited legal capacity as stipulated by law)

As the legal guardian, I hereby declare that, according to relevant national laws and regulations, I legally possess the guardianship rights and obligations for (name of the ward). I consent to the ward’s participation in this competition. Should this declaration be found inconsistent with the facts, I will bear the corresponding legal consequences.

I am fully aware that, according to the competition rules and regulations, athletes are responsible for arranging their own insurance for participation. Any consequences resulting from the failure to obtain insurance, insufficient coverage, or inadequate insurance coverage will be borne by myself.

Name of the Athlete: ______________________________, Tel: ____________________

ID Number of the Athlete: ________________________

Name of the Legal Guardian: ______________________________, Tel: ____________________

ID Number of the Legal Guardian:________________________

Relationship to the Athlete:__________________________

Signature of the Legal Guardian:

 Date:

Statement for Spouse/Children of Athletes Aged 70 and Above

As the spouse/children, I hereby declare that I consent to (name of the athlete) participating in this competition. Should this declaration be found inconsistent with the facts, I will bear the corresponding legal consequences.

I fully understand that participating in the competition poses significant risks of serious injury to the athlete. According to the competition rules and regulations, athletes are responsible for arranging their own insurance for participation. Any consequences resulting from the failure to obtain insurance, insufficient coverage, or inadequate insurance coverage will be borne by myself.

Name of the Athlete: _____________________________, Tel: ________________________

ID Number of the Athlete: _______________________

Name of the Spouse/Child:______________________________, Tel: ________________________

ID Number of the Spouse/Child: _________________________

Relationship to the Athlete:__________________________

Signature of the Spouse/Child:

Date: