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TC Junior Races
Junior and Youth Grand Prix
Junior membership & consent form
Junior waiting list sign-up form
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Junior membership & consent form
Please complete the form below.
Participant Details
Name
*
First
Last
Date of Birth
*
MM slash DD slash YYYY
Current Age
*
Age on 31/12/19
*
Medical Conditions or Injurys
*
Please list them below
New Member Or Existing Member
*
New Member
Existing Member
If you are renewing your membership please specify the 3 races entered last season
Please list them below
Primary Contact Details
This will also be used as an emergency contact
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Aberdeenshire
Angus/Forfarshire
Argyllshire
Ayrshire
Banffshire
Bedfordshire
Berkshire
Berwickshire
Blaenau Gwent
Bridgend
Buckinghamshire
Buteshire
Caerphilly
Caithness
Cambridgeshire
Cardiff
Carmarthenshire
Ceredigion
Cheshire
Clackmannanshire
Conwy
Cornwall
Cromartyshire
Cumberland
Denbighshire
Derbyshire
Devon
Dorset
Dumfriesshire
Dunbartonshire/Dumbartonshire
Durham
East Lothian/Haddingtonshire
Essex
Fife
Flintshire
Gloucestershire
Gwynedd
Hampshire
Herefordshire
Hertfordshire
Huntingdonshire
Inverness-shire
Isle of Anglesey
Kent
Kincardineshire
Kinross-shire
Kirkcudbrightshire
Lanarkshire
Lancashire
Leicestershire
Lincolnshire
Merthyr Tydfil
Middlesex
Midlothian/Edinburghshire
Monmouthshire
Morayshire
Nairnshire
Neath Port Talbot
Newport
Norfolk
Northamptonshire
Northumberland
Nottinghamshire
Orkney
Oxfordshire
Peeblesshire
Pembrokeshire
Perthshire
Powys
Renfrewshire
Rhondda Cynon Taff
Ross-shire
Roxburghshire
Rutland
Selkirkshire
Shetland
Shropshire
Somerset
Staffordshire
Stirlingshire
Suffolk
Surrey
Sussex
Sutherland
Swansea
Torfaen
Vale of Glamorgan
Warwickshire
West Lothian/Linlithgowshire
Westmorland
Wigtownshire
Wiltshire
Worcestershire
Wrexham
Yorkshire
County
Postcode
Telephone Number
*
Mobile Number
*
Email
Relationship to the participant
*
Secondary Contact Details
Name
First
Last
Address
Street Address
Address Line 2
City
Aberdeenshire
Angus/Forfarshire
Argyllshire
Ayrshire
Banffshire
Bedfordshire
Berkshire
Berwickshire
Blaenau Gwent
Bridgend
Buckinghamshire
Buteshire
Caerphilly
Caithness
Cambridgeshire
Cardiff
Carmarthenshire
Ceredigion
Cheshire
Clackmannanshire
Conwy
Cornwall
Cromartyshire
Cumberland
Denbighshire
Derbyshire
Devon
Dorset
Dumfriesshire
Dunbartonshire/Dumbartonshire
Durham
East Lothian/Haddingtonshire
Essex
Fife
Flintshire
Gloucestershire
Gwynedd
Hampshire
Herefordshire
Hertfordshire
Huntingdonshire
Inverness-shire
Isle of Anglesey
Kent
Kincardineshire
Kinross-shire
Kirkcudbrightshire
Lanarkshire
Lancashire
Leicestershire
Lincolnshire
Merthyr Tydfil
Middlesex
Midlothian/Edinburghshire
Monmouthshire
Morayshire
Nairnshire
Neath Port Talbot
Newport
Norfolk
Northamptonshire
Northumberland
Nottinghamshire
Orkney
Oxfordshire
Peeblesshire
Pembrokeshire
Perthshire
Powys
Renfrewshire
Rhondda Cynon Taff
Ross-shire
Roxburghshire
Rutland
Selkirkshire
Shetland
Shropshire
Somerset
Staffordshire
Stirlingshire
Suffolk
Surrey
Sussex
Sutherland
Swansea
Torfaen
Vale of Glamorgan
Warwickshire
West Lothian/Linlithgowshire
Westmorland
Wigtownshire
Wiltshire
Worcestershire
Wrexham
Yorkshire
County
Postcode
Telephone Number
*
Mobile Number
*
Email
Relationship to the participant
*
Please confirm how you would like to pay your subscriptions by ticking the relevant box below:
*
Annual membership subscription and annual training subscription paid online
Annual membership subscription and monthly training subscription paid online
Annual membership subscription and annual training subscription cheque or cash
Annual membership subscription and annual training subscription cheque or cash
Please provide a reference for your online payments so they can be tracked through our bank account
Parental/Guardian Consent:
*
I (Insert parent/guardian full name in box below)
Please agree to the statements below by ticking the box
*
Give permission for my son /daughter to participate in triathlon coaching session. I understand and agree that my son/daughter participates in coaching sessions entirely at his/her own risk. I am satisfied that my son/daughter is sufficiently responsible and competent to assume full responsibility for his/her own safety.
Understand that my son/daughter is expected to regularly attend the triathlon coaching sessions held on a Monday night (a minimum of 3 per month) and represent Team Cherwell in triathlon events (the club would like to see members compete in at least 3 events per year).
Confirm that my son/daughter and I have read and understood the Team Cherwell Code of Conduct.
Give permission for my son/daughter’s name and/or photographs to be used in Team Cherwell race reports and publicity material.
Understand that by becoming a member of Team Cherwell Junior Section, I agree to the details provided on this form including my child’s name, my name, address, phone numbers and email address being held on a computer database. This information will only be used for the purpose of maintaining a register of members and for posting notices regarding the activities of Team Cherwell Junior Section. This information will not be passed to third parties.
Date
*
MM slash DD slash YYYY
Digital signature
*
Comments
This field is for validation purposes and should be left unchanged.
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
