Triathlon Club

Join the Human Performance Unit Triathlon Club

Name:

Address Line 1:

Address Line 2:

Town/City:

Postcode:

Home Tel No:

Date of Birth:

Gender (please select): Male Female

To receive information on club events by e-mail, (for under 18’s please advise parent/guardian’s e-mail - Triathlon Essex will not accept children’s e-mail addresses)

e-mail address:

In order to help the club monitor its membership please tick one of the following boxes to identify your ethnic group:

White

Mixed

Asian or Asian British

Black or Black British

Chinese or other ethnic group

Are you registered disabled? (please select)  Yes No

If yes, what is the nature of your disability? 

Medical Information

Please detail below any important medical information that our coaches should be aware of (e.g epilepsy, asthma, diabetes, etc.

Emergency Contact Details

Please insert the information below to indicate the person(s) who should be contacted in case of an incident / accident:

Contact name:

Contact number:

Mobile:

For 18 years and over members: By returning this completed form, I understand that triathlon is potentially a physically strenuous activity and I confirm that I am physically fit to participate. I also confirm that I will take out membership of ‘Triathlon England’ in order to receive third party public liability insurance.

For Parents of under 18s: By returning this completed form, I agree to my child in my care taking part in the activities of the club and I will abide by the code of conduct. I also confirm that I will take out membership of ‘Triathlon England’ for my child in order to receive third party public liability insurance.

I understand that in the event of any injury or illness all reasonable steps will be taken to contact me/my emergency contact, and to deal with that injury / illness appropriately.

Name:

Date:  

Code of conduct for parents/guardians

By submitting this form you are agreeing to the following:

• Encourage your child to learn the rules and stick to them

• Discourage unfair play and arguing with officials

• Help your child to recognise good performance, not just results

• Never force your child to take part in sport

• Set a good example by recognising fair play and applauding the good performances of all

• Never punish or belittle a child for losing or making mistakes

• Publicly accept officials’ judgements

• Support your child’s involvement and help them to enjoy Triathlon

• Use correct and proper language at all times

• Follow any requests or instructions giving to you by club officials