2019 Whistler Tri Club Membership Form

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EXPIRES December 31, 2019

RELEASE OF LIABILITY, WAIVER OF CLAIMS,
ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT
(hereinafter referred to as the “Release Agreement”)
BY SIGNING THIS DOCUMENT YOU WILL WAIVE OR GIVE UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT

PLEASE READ CAREFULLY!

Full Name *

Birthdate *

YYYY

Street Address *

Postal/Zip Code *

Primary Phone Number *

Alternate Phone

Email Address *

Helmets Mandatory *

Helmets are mandatory while participating in and club rides or races. Please click to confirm your awareness.

Emergency Contact Person *

Emergency Contact Phone *

Tee Shirt Size (New members only)

XS (Ladies)

S (Ladies)

M (Ladies)

L (Ladies)

S (Men's)

M (Men's)

L (Men's)

XL (Men's)

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Help us run a club that suits your needs! What events are you planning on doing this season?

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