Swim-1st Triathlon Club
Membership Application Form
Welcome to Swim-1st Tri Club
First Name *
Your answer
Last Name *
Your answer
Male or Female *
Date of Birth - dd/mm/yy *
Your answer
Email *
Your answer
Mobile number *
Your answer
Home telephone number
Your answer
Full Address *
Your answer
Emergency contact name (whilst training) *
Your answer
Emergency contact number (whilst training) *
Your answer
Relevant medical information for coaches to know
Your answer
Further comments i.e. any previous experience, races, other clubs etc.
Your answer
I would like to apply for membership of Swim-1st Triathlon Club. I acknowledge that the club bears no responsibility for accident, illness, loss or damage incurred as a result of my membership. *
I agree that as Swim-1st Triathlon Club is affiliated to Triathlon England and the British Triathlon Federation, I agree to abide by their rules, by-laws and regulations and understand that my membership is based on this. I also agree to abide by the club rules as detailed on the website. www.swim-1sttriclub.com *
I declare that I am physically fit enough to undertake physical activity and take part in club activities/training entirely at my own risk. If any relevant medical or personal details change I agree to inform the club immediately. *
I am applying for: *
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