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2021 Program Registration

November 9, 2020 through August 1, 2021

Tell Us About Yourself:

First Name:

Email:

Are you interested in volunteering?

Yes

Phone Number:

Last Name:

Are you a returning member?

Yes

Yes and I need to update information

If Yes, in what capacity?

Pronouns:

Address:

Age:

Gender:

Race/Ethnicity:

Family Country of Origin:

Highest Level Of Education:

High School

B.A. / B.S.

Graduate

Other

Employer

Does your employer offer corporate matching?

Yes

Have you previously participated in a triathlon, multisport or endurance event?

Yes

If YES, please let us know the longest distance completed:

Are you signed up for any races? If so please let us know which one(s):

If you have WhatsApp , we recommend being added to the training group’s chat to stay in the loop through your mobile device. We will post training updates and answer questions from participating members. Note: This is separate from the Virtual Community team chat and is meant for training and logistics communication only.

I want to be added to the WhatsApp group chat

What Are Your Fitness Goals?

Structured Training- Staying Healthy and Fit

Short Distance (Sprint/Olympic) Triathlon Training

Long Distance (70.3/140.6 ) Triathlon Training in 2021

About the Training Environments:

Group strength and yoga via ZOOM on Mondays at 630pm
Group cycling (Tuesdays via ZOOM Jan-Mar. and Saturdays Outdoors Apr.-Jul. 31)
SD* run limited to 10* people per sub-group on Wednesdays 630pm @ Central Park
Remaining workout plan is to be completed at home or wherever you are, just keep moving

SD* cycling outdoors beginning April 2021, long course location TBD for advanced riders and Randall’s Island or Central Park for short course or beginner riders

SD= social distance; current CDC guidelines limit 10 per sub-group, this number may change based on CDC revisions.

I am signing up for the (choose below):

Muevete Program Bike/Run/Yoga & 1 OWS Starts 1/11/21, Ends 8/1/21 $915

Strength / Yoga; Starts 1/11/21, Ends 8/1/21 $340

Group Bike; Starts 1/11/21, Ends 8/1/21 $435

Group Run; Starts 1/11/21, Ends 8/1/21 $365

Open Water Swim; Sessions Summer 2021 $50 per session

12 -Week Pool Swim; Starts 6/8/21, Ends 8/24/21 $289

Emergency Contact Name:

Emergency Contact Number:

Relationship:

**Membership registration is non- transferable and non-refundable**

PAYMENT PLAN OPTION AND TERMS: Monthly Payments are available through the subscription option at payment. TriLatino Triathlon Club’s membership is not transferable and non-refundable regardless of attendance, injury or relocation. You agree to pay TriLatino Triathlon Club the FULL AMOUNT. A $30.00 processing fee will be charged every time your credit card is declined.

Participant Waiver

By checking this box and signing below the Athlete’s signature certifies that the same will act as the Athlete’s signature to this Waiver & Release having the same force and effect as would an originally executed document.

THE UNDERSIGNED ATHLETE HAS READ THE FOREGOING; HAS UNDERSTOOD IT; AND HAS EITHER RETAINED INDEPENDENT LEGAL COUNSEL IN CONNECTION WITH EXECUTING AND DELIVERING THIS WAIVER TO TRILATINO, OR HAS CHOSEN NOT TO AND ASSUMED ALL RISKS THEREOF (KNOWN AND UNKNOWN, AND FORESEEABLE AND UNFORESEEABLE, TO ANY PERSON) OF NOT DOING SO.

Sign below

Date

TRILATINO TRIATHLON CLUB, INC.

¡MUEVETE!

2021 Program Registration

November 9, 2020 through August 1, 2021