Participant Information:

First Name*

Last Name*

Gender*

MaleFemaleOther

Date Of Birth*

Email*

Phone Number*

Address*

Address Line 1*

Address Line 2

City*

State or Region*

Country*

Zip*

Emergency Contact Name:*

Emergency Contact Number*

Choose your membership plan:*

Individual MembershipFamily MembershipJunior Membeship(Under 18)Senior Membership(Over 65)

What is your current experience level with triathlons?*

Which race distances are you most interested in? (Select all that apply)*

Sprint Distance (750m swim, 20km bike, 5km run)Olympic Distance (1.5km swim, 40km bike, 10km run)Half Ironman (1.9km swim, 90km bike, 21.1km run)Full Ironman (3.8km swim, 180km bike, 42.2km run)Other

What training gear do you currently have access to? (Select all that apply)*

Are you interested in volunteering for the following roles?*

Are you interested in participating in any of the following club events or competitions?*

T-shirt Size :*

SmallMediumLargeExtra Large

Current Fitness Goals:

Additional Comments or Questions:

Consent and Agreement:*

I agree to abide by the rules and regulations of the Triathlon Club. I understand that participation in club activities is at my own risk, and I will not hold the club liable for any injuries.

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