Please complete the form below in order to join Chippenham Tri:

Membership type

Participant / Member Details

Name

Gender

Address

Email

Date of birth

Emergency contact

Name

Phone

Medical and Specific Needs

Please give brief details of any medical or health conditions that might affect your participation in triathlon and indicate if you would like to discuss support/modifications you may require

Athlete Objectives

Briefly describe your previous triathlon experience

What are your objectives for this/next triathlon season?

I agree that my participation or membership is subject to the Triathlon England and the Club Constitution (Chippenham Tri Memorandum of understanding) Rules, and that non-compliance with these rules may result in the termination of my participation or membership.

I understand that I am responsible for my own health and fitness. I am aware that Chippenham Tri cannot be held responsible for any injury incurred while taking part in Club activities, notwithstanding negligence.

I understand Chippenham Tri's Privacy Statement: In becoming a member of Chippenham Triathlon Club (CTC), CTC will collect certain information about you which will include your name, date of birth, gender, BTF number, email address, address, telephone number, medical/specific needs you feel we should be aware of, any requirements for assistance to participate in triathlon, and the name, address and telephone number of your emergency contact person. CTC will collect and process your Triathlon Data for the purposes of registering you as a member of CTC and administering your involvement in the club. We will process it on the basis for the interests of registering you as a member and to administer the club. Please see the Club’s Privacy Policy for a full explanation.