Join Knutsford Tri Club Now

Knutsford Tri Club's 2013 annual membership is £55. The subscription runs from 1st April each year.

NB: The deadline for membership renewal is 30/04/2013, after this date membership will increase to £65, so to avoid disappointment and don’t delay.

To become a member please complete the following form and arrange payment as follows;

BACS:
Ref: Knutsford Tri Club
Sort Code: 16 22 27
Account number: 10194060
Note: Please mark with your name and send a confirmation email to our new Treasurer, Mike Potter, that you have paid (mike@knutsfordtriclub.co.uk )

For England Athletics membership, please make a payment of £10 to the same BACS address as above. Please note EA membership is unavailable to renew after 30/04/13.

FYI, non-member charges for sessions are as follows:
Swimming - £10
Run Coaching - £10
All other sessions - £5
Any questions, please check our FAQ's or contact one of the team on info@knutsfordtriclub.co.uk.

Email:

Contact Information

Name:		Address:
Date of Birth:
Home Phone:
Mobile Phone:

Training Information

Information in this section is optional and will be used for club development purposes only.

How fit are you?
How many hours do you train per week?
How would you rate your Triathlon experience?

Medical Information

In case of emergency and as part of the clubs responsibility to its membership, ALL club members are required to complete this medical information form as accurately as possible. Details will be held securely with access restricted to authorised club officers only.

Next of Kin Information

Next of kin name:

Next of kin relationship:

Next of kin phone number:

Healthcare Information

Doctors details:

As far as you are aware, are you allergic to any drugs?
Are you taking any regular medication? If so, for what reason?
Do you have any long term illnesses or injuries?

By completing the form above and clicking submit, you agree to the following statement:

"I consider myself to be physically fit and capable of full participation and agree to notify the club of any changes to the medical information provided. Furthermore, in the event that I am injured I give my permission* for officers of the club to obtain emergency medical treatment on my behalf."