Membership Application Membership TypeMembership Type *T3 Membership entitles you to all our swim coaching sessions, entry into our club races, the winter and summer series. Add cyclesense membership if you want regularly ride with cyclensense and or would like to take part in their summer time trials. Add Harriers membership if you would like to take part in the York Road Race league* and join Tadcaster Harriers in their training runs on a Tuesday evening... Add England athletics licence to be able to compete in and receive discounts off some races..T3 (£15.00)+ Cyclesense Membership (add £15.00)+ Tad Harriers 2nd Claim (add £10.00)+ England Athletics Licence (add £14.00) Personal DetailsSurname *First Name *Email *Phone Gender *MaleFemaleDate of Birth *Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryTriathlon England Member? *YesNoMembership No. Emergency ContactContact Name Phone Mobile Medical Details and Specific Needs Terms and ConditionsAcknowledgements I hereby acknowledge that Triathlon can be a dangerous and physically demanding sport and that I participate in them at my own risk. Neither the Club nor Committee will be held responsible for any accident that may occur whilst I am participating in the sport nor any sessions arranged by the club. You are encouraged to join the British Triathlon Federation (BTF) so that you will receive a number of benefits including insurance. The Club recommends that you should consult your doctor before participating in training and competitions. Any relevant medical conditions or information must be notified to the club either on this form, or in writing to the Club Secretary, or Welfare Office. During coached sessions I accept responsibility for notifying the coach on each occasion of any relevant medical conditions.Declaration • T3 is a fully accredited and affiliated member of the British Triathlon Federation. • Membership details are stored electronically but not distributed outside the committee and organisers of club events. • Your personal information will be held and used in accordance with the Data Protection Act. The Club will not disclose such information to any unauthorised person or body but where appropriate will use such information in carrying out its various functions and services.Checkbox *I have read and understood the T3 Club Rules VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: Leave a Reply Cancel replyYou must be logged in to post a comment.