TCSD Membership Application

Name (First, MI, Last)
Nickname
Address

City, State Zip	,
Country
Evening Phone
Day Phone
Mobile Phone
Email
Birthday
Age Verification	I'm 18 or older
Waiver	By checking the box below, you agree, warrant and covenant as follows: I acknowledge that a triathlon or bi-sport event is an extreme test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. I HEREBY ASSUME THE RISKS OF PARTICIPATING IN ALL TRIATHLON CLUB FUNCTIONS. I certify that I am physically fit, have sufficiently trained for participation in this event(s) and have not been advised otherwise by a qualified medical person. I acknowledge that my statements on this AWRL are being accepted by the USA Triathlon Chartered Club and are being relied on by USA Triathlon and the Club Organizers and the administrators in permitting me to participate in any organized Club function. In consideration for allowing me to become a Club Member in a USA Triathlon Chartered Club and allowing me to participate in organized Club functions I hereby take the following action for myself, my executors, administrators, heirs, next of kin, successors and assigns: a) I AGREE to abide by the Competitive Rules adopted by USA Triathlon, including the Medical Control Rules, as they may be amended from time to time, and I acknowledge that my Club membership may be revoked or suspended for violation of the Competitive Rules; b) I WAIVE, RELEASE, AND DISCHARGE, from any and all claims or liabilities for death, personal injury, property damage, theft or damages of any kind, which arise out of or relate to my participation in, or my traveling to and from an organized Club function, THE FOLLOWING PERSONS OR ENTITIES; USA Triathlon chartered Clubs, Club Sponsors, volunteers, all states, cities, countries or localities in which Club functions or segments of Club functions and held, and the officers, directors, employees, representatives, and agents of any of the above; c) I AGREE NOT TO SUE any of the persons or entities mentioned above for any of the claims or liabilities that I have waived, released or discharged herein; and d) I INDEMINIFY AND HOLD HARMLESS the persons or entities mentioned above from any claims made or liabilities assessed against them as a result of my actions during an organized Club function. I HEREBY AFFIRM THAT I AM EIGHTEEN (18) YEARS OF AGE OR OLDER, I HAVE READ THIS DOCUMENT, AND I UNDERSTAND ITS CONTENTS. If the applicant is under eighteen (18) years of age, their parent/guardian must sign this AWRL and an additional release available from the Club. Yes, I accept the waiver

Membership Info

Membership Renewal: Yes No
Gender: Male Female
Mail Newsletter: Yes No
Email Newsletter: Yes No

Membership Type

Regular
Junior
Military
Family

Membership Length

1 Year
2 Years

Membership Cost

Include a TCSD timing chip and ankle strap for an additional $30.
The timing chip is necessary in orer to receive results and splits in TCSD
sponsored races and other events. This is a one-time purchase
and completely optional. You may purchase the chip at a later date in
our online store.

Membership	Cost For 1 Year	Additional Year*
Regular	$60	$50
Junior	$30	$30
Family	$110	$100
Military	$45	$45
* When purchased with the 1st year at full price