Tri-Active Cymru Sign Up Form

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Thank you for registering interest in your local Tri-Active Cymru activity. In order for you or your child to participate, this form needs to be filled before the session. Without this form we cannot allow you to participate as you will not have insurance to protect you while participating.

Full Name of person taking part *

What is your Postcode? *

Gender *

Male

Female

Other

Contact Email *

Contact Number *

Date of Birth *

YYYY

Medical Information *

Please enter any disabilities, illness, allergies or other problems of which we need to be aware:

Are you a member of Welsh Triathlon?

Yes

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Where is your Tri-Active Cymru session taking place? *

Is this your first Tri-Activity Cymru session? *

Yes

List any Tri-Active Cymru sessions you have previously taken part in:

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