Registration Form | tlwebsite

Fall/Winter 2022/23 Program Registration
November 5, 2022 through March 11, 2023

Tell Us About Yourself:

Are you a returning member?

Yes

Yes and I need to update information

Street Address

Street Address Line 2

City

Postal / Zip code

Region/State/Province

Country

Family Country of Origin:

Highest Level Of Education:

High School

B.A. / B.S.

Graduate

Other

What did you major in:

Does your employer offer corporate matching?

Yes

Are you interested in volunteering?

Yes

If Yes, in what capacity?

How did you hear about TriLatino?

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

About the Coached Training Environments:

Strength and yoga via ZOOM on Mondays at 6:30pm
Swim on Tuesdays for all levels at 7:00pm, location TBD
Running for all levels meet Wednesdays in Central Park @ 6:30pm
Cycling via ZOOM at 6:30pm on Thursdays and outdoor cycling at Harriman State Park, 730a (weather permitting)

I am signing up for the (choose below):

Muevete Program Yoga/Run/Bike; Starts 11/5/22, Ends 3/11/23 $489

Strength / Yoga; Starts 11/7/22, Ends 3/6/23 $239

Group Run; Starts 11/7/22, Ends 3/8/23 $239

Pool Swim (Learn to Swim/All Level); Dates TBD; $400 (Thursday Swim)

Group Cycling; Starts 11/5/22, Ends 3/9/22 $325

ZOOM Group Cycling; Starts 12/1/22, Ends 3/9/23 $281

NYC Tri Fundraising; $2,500 min. Includes Muevete Training Program, Race Entrance, Race Tri-Top

NYC Tri Relay Fundraising; $4,200 min. Includes Single Sport Training for Relay Leg Athlete, Team Race Entrance, TriLatino Tech-Tees

If you selected swim please let us know your swim level:

Learn to Swim

Beginner / Intermediate

Intermediate/ Experienced

Emergency Contact Name:

Emergency Contact Number:

**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.

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.

By checking this box and signing below the Athlete’s signature certifies that the same will act as the Athlete’s signature to this Covid-19 Waiver & Release having the same force and effect as would an originally executed document.

TRILATINO TRIATHLON CLUB, INC.

¡MUEVETE!

Fall/Winter 2022/23 Program Registration
November 5, 2022 through March 11, 2023

Fall/Winter 2022/23 Program Registration November 5, 2022 through March 11, 2023

Fall/Winter 2022/23 Program Registration
November 5, 2022 through March 11, 2023