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NCTC HPT/DEVO/Club 12-19
Intake form for junior triathlon team members
Email address *
Athlete Name *
Your answer
Athlete Birthday *
Gender *
Parent/Guardian Name *
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Primary Email *
Your answer
Primary Contact Phone *
Your answer
Athlete's interest *
I would like to try out for (try outs are to establish which team athlete fits) *
Has the athlete participated in triathlon before? *
Has the athlete participated in bike racing before? *
Is the athlete on a year round swim team? *
Athlete's most recent 1 mile and 5k times
Your answer
Athlete uses clipless pedals *
Athlete has a road bike or is willing to buy a road bike *
Athlete runs cross country or is on a track team *
Athlete experience *
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