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) 12345678910111213141516171819202122232425262728293031 / 123456789101112 / 20162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901 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)?