Joining Form

 

When to fill in the form

After purchasing your membership, please complete the joining form below.

 

    Title (required)

    First Name(s) (required)

    Surname (required)

    Date of birth (required)
    / /

    Address (required)

    Postcode (required)

    Tel. Number, Home (required)

    Tel. Number, Work

    Tel. Number, Mobile

    Your Email (required)

    Your username for this website (required)

    Will Coventry Triathletes be your 1st claim triathlon club?
    YesNo

    If No, which is your 1st claim club?

    Are you a British Triathlon Member?
    YesNo

    If Yes, what is your B.T.F. Number?

    Would you like to join UK Athletics with Coventry Triathletes as your 1st claim club?
    (Additional charge per person)
    YesNo

    If you have UK Athletics affiliation through a different club, which is your 1st claim club?

    UKA member number?

    In order to participate in our coached sessions, it is advisable that you provide us with the details below

    Emergency Contact Details

    First name

    Last name

    Relationship to participant

    Main contact telephone number

    Secondary contact telephone number

    Do you agree to abide by the club's terms and conditions on the Policies page (including providing details of any medical conditions, injuries and medications to the coach or session leader before participating in a club session)?