Must be completed by all participants in club activities

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* 1. Full name

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* 2. Email address

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* 3. Mobile phone number

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* 4. Name and phone number to contact in case of emergency

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* 5. Date of birth

Date

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* 6. Do you have any medical conditions or injuries that may affect your ability to participate in club training sessions?

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* 7. Which training sessions are you most interested in joining?
(Tick any that apply.)

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* 8. What are your goals for 2023 and how can Harlech Triathlon Club help you to acheive them?
You can type as much information as you like for this question.

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* 9. 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

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