Membership 2021

Question Title

* 1. Full name

Question Title

* 2. Address (including postcode)

Question Title

* 3. Email address

Question Title

* 4. Mobile phone number

Question Title

* 5. Person to contact in case of emergency

Question Title

* 6. Gender

Question Title

* 7. Date of birth

Date

Question Title

* 8. Declaration:
I wish to become a member of Harlech Triathlon Club
I agree to obey the rules and codes of conduct of the HarlechTriathlon Club, the British Triathlon Federation, race organisers and the clubs, leisure centres or venues the club may use
I understand that members participate in all training sessions, races and other events at their own risk

Question Title

* 9. Signed: Enter your full name
(Over 16 signatures only, a parent or guardian must sign on behalf of juniors)

Question Title

* 10. Date

Date

T