STS Try to Tri Programme
Name and Surname
Date of Birth
Emergency Contact Name and Cell Number
Medical Aid Name, Option and Number
Any medical conditions, allergies or injuries that we should be aware of?
Adult or Student
Full Time Student or at school
Adults (R880 per month)
Students (R750 per month)
Already an STS athlete (no additional cost)
Which STS branch will you be joining predominantly?
Do you have a STS Running Shirt (compulsory)
STS Running Shirt Size
Are you interested in any other STS kit
Trisuit (full suit or 2 piece)
What is your main goal for 2020 and beyond?
Please read and accept our T's and C's to complete registration
STELLENBOSCH TRIATHLON SQUAD INDEMNITY AGREEMENT
THIS INDEMNITY AGREEMENT (the “Agreement” or this “Indemnity”) is made and entered into by and between
VICKY VAN DER MERWE t/a STELLENBOSCH TRIATHLON SQUAD
The athlete subscribing to the membership as per this form
a. STS conducts triathlon training sessions as well as triathlon training camps including various activities consisting of swimming (pool and open water), cycling (road and mountain) and running (referred to as activities”); and
b. therefore, the Athlete has agreed to indemnify STS and hold STS harmless, as more fully set forth hereinbelow.
The parties to this Agreement hereby agree as follows:
1. the Athlete agrees to hold harmless and hereby indemnifies STS, any third parties employed or contracted by STS and persons associated with STS, from and against any and all claims, liability, loss, expenses, legal action, damages and costs, arising out of any accident, injury of death of persons, or loss of or damage to property, or fines and penalties which may result, in whole or in part from any of the activities in which the Athlete is participating while training with STS, except to the extent that such damage is due solely and directly to the gross negligence of the STS;
2. this Indemnity shall take effect on the date on which the Athlete agrees and accepts the terms hereof, by ticking the box below.
I agree and accept the above Indemnity Agreement
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