Membership Form 2017-2018

Member Details – a separate form must be fully completed for each child

(To join the club applicants must turn 8 years of age by 31 December 2017)

Name / DOB / / / / Sex / Male / Female
Address
Postcode / Contact No.
Email Address 1 / The club uses email to
send out regular updates
at least one email
address required.
Email Address 2
Medical conditions
Do you consider yourself to have a disability? / Yes / No / If yes, nature of disability
Emergency Contact 1
Name & Relationship / Contact No.
Emergency Contact 2
Name & Relationship / Contact No.
British Triathlon member / Yes / No / British Triathlon Number
If competing for another Tri club in competition, please declare club

Annual Membership Fee: £15.00 (01st April 2017 to 31st March 2018)

Monthly Training Fees: £15.00 per month with swim place / £10.00 per month without swim place

Monthly training fee entitles members to take part in sessions applicable to their age category. Please note members who regularly attend running and cycling sessions will be given priority for swimming places. Club swimming assessment must be passed before swim place will be offered.

Cheques made payable to “Carlisle Junior Tri Club” – For payment of membership fees only

Standing Order forms for monthly training fees available from club secretary.

Completed forms can be handed in at any session, emailed to or sent to:

Nikki Scott (Club Secretary), Carlisle Junior Tri Club, 16 Cranbourne Road, Carlisle, CA2 7JN

I confirm I have read and agree to the club Code of Conduct : Yes / No

I confirm I have read and agree to the club Photograph / Video / Social Media Policy : Yes / No

I give permission for this child to join the club’s closed Facebook Group : Yes / No

Signed / Print Name

When you are accepted as a member of the club, this information will be held on a computer file for as long as the child is a member of the club. Should you have any objections please raise them with the Club Secretary.