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Membership Application Form
Membership Application Form
Apply for one of our four levels of adult membership.
Name
Mr
Mrs
Miss
Ms
Dr
Prof.
Rev.
Prefix
First
Last
Address
Street Address
Address Line 2
City
County / State / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Email
Telephone
Date of Birth
MM slash DD slash YYYY
BTF Membership Number
Medical Conditions
Please let us know about any medical conditions or medication you take.
Other Information
Emergency Contact Name
First
Last
Emergency Contact Number
Membership Fees
Team Cherwell Membership
Platinum Membership
Gold Membership
Silver Membership
Bronze Membership
Select method of payment:
Pay by BACS transfer
Cheque in the post
Please pay by either BACS transfer (preferred - email teamcherwelltri@gmail.com for details) or send a cheque (made payable to Team Cherwell Triathlon Club) to:
Membership
3 The Cedars
Greatworth
OX17 2DY
Club Rules
I agree
I agree to abide by the club rules and regulations; I understand and agree that I participate in any club session at my own risk and that no responsibility whatsoever shall attach to any person involved in the organisation of such session for any injury, accidents, loss or damage suffered by me in or by reason of the session, however such may be caused
Personal Data Storage
I agree
I agree to my details being stored and, when necessary, viewed by members of Team Cherwell Committee (your data will be kept in accordance with the data protection act); I agree that video may be used for training purposes, and have no objections to my images being used for training or on the Club’s website
Contact Preferences
Join WhatsApp Group
Central club information such as membership renewals, AGM notification and Awards Dinner details will be published via email and social media channels but in order to avoid too many emails and over reliance on Facebook, a general club What’sApp group has been setup. Please check the box if you would like to OPT IN to this group. This group will be used for informal chat, finding training companions etc.
Digital Signature
Date
MM slash DD slash YYYY
Post Body
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MENU
Juniors
TC Junior Races
Junior and Youth Grand Prix
Junior membership & consent form
Junior waiting list sign-up form
Membership
TC Committee
Training
TC Coaches
Open Water Swimming
Time Trials
Grand Prix
TC News
Club Kit
Banbury Triathlon
Join Us