Roaring Fork Women's Triathlon Team Application & Data Sheet 2018
Completion of this form is REQUIRED for all athletes before participation.
First Name *
Last Name *
Address *
City *
Zip Code *
Preferred Phone Number *
Email *
Age *
Birthdate *
MM
/
DD
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YYYY
Occupation *
Physician's Name *
Date of last heart and lung exam *
MM
/
DD
/
YYYY
Emergency Contact's Name *
Emergency Contact's Phone Number *
Height *
Weight *
I work out... *
HEALTH CHALLENGE: I have a health challenge, yes or no. *
If you answered "Yes" above, please explain your health challenge.
SWIM EXPERIENCE: Triathlon training requires basic freestyle swim skills. Please answer basic questions below. (You will also complete a full Swim Questionnaire.) *
BIKE EXPERIENCE: *
What type of bike do you prefer?
WALK EXPERIENCE (if you're a Runner, skip to the next question)
RUN EXPERIENCE (If you will WALK, skip this section)
5K Experience *
If you've completed a 5K, what was your best time?
Triathlon Experience: *
If you've completed multiple triathlons, please give the numbers of each distance you've completed. (Example: 5 sprints, 1 olympic):
Please explain why you want to take this triathlon training class: *
Membership: please check the appropriate box for your participation this year *
Required
Sponsorship and Scholarship Options: please check if these options apply to you
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