2019 Whistler Tri Club Membership Form
EXPIRES December 31, 2019

RELEASE OF LIABILITY, WAIVER OF CLAIMS,
ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT
(hereinafter referred to as the “Release Agreement”)
BY SIGNING THIS DOCUMENT YOU WILL WAIVE OR GIVE UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT

PLEASE READ CAREFULLY!
Full Name *
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Birthdate *
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DD
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YYYY
Street Address *
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Postal/Zip Code *
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Primary Phone Number *
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Alternate Phone
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Email Address *
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Helmets Mandatory *
Emergency Contact Person *
Your answer
Emergency Contact Phone *
Your answer
Tee Shirt Size (New members only)
Help us run a club that suits your needs! What events are you planning on doing this season?
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