On October 27, 2019, Dr. Sforza and his wife Jen participated in the world's premier off-road triathlon in Kapalua, Maui. They each qualified by placing in their respective age groups in the NorthEast region of the United States, Jen coming in 1st and Dr. Sforza in 2nd. The event consisted of a 1 mile swim in the rough surf of D.T. Fleming Beach, a 19.2 mile mountain bike that climbed 3,500 feet up and down the lower slopes of the West Maui Mountains, and a 6.5 mile run that traversed Hilly forest trails and beach sand. 650 of the world's best professional and amateur off-road triathletes representing 42 countries and 40 U.S. States participated.