Request edit access
ATAC Membership Form - 2018
Welcome to ATAC. Our objective is to promote, develop, and foster the sports of triathlon and cycling. We are a social club and hold regular training sessions to help members achieve their triathlon and cycling goals.

Your annual membership entitles you to register and attend organised cycling, triathlon and social events published on meet-up. And we encourage members to add their own training and racing events to encourage other ATACers to join them.

WE ASK ALL MEMBERS TO COMPLETE THIS FORM (ANNUALLY) SO THAT WE HAVE INFORMATION SHOULD WE NEED TO CONTACT SOMEONE ON YOUR BEHALF.

This information will be used to create your membership card which you can carry with you when you train - always a good thing to carry in the unlikely event that you get into trouble.

The sections marked with * are required, the rest is up to you to decide.

Note - information will be transcribed as entered by you

Personal Information
First name *
Your answer
Last Name *
Your answer
Mobile number: *
Use full format eg: +31 (0) 6...
Your answer
Email Address *
Your answer
Mailing Address *
Address 1
Your answer
Address 2
Your answer
Town *
Your answer
Postal code *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Nationality *
Your answer
Passport Number
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms