Registration Form | tlwebsite

TRILATINO TRIATHLON CLUB, INC.

¡MUEVETE!

Training Programs

Gear

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info@trilatino.org

PH: (877) 874-5284

2021 -2022 Program Registration

October 18, 2021 through February 20, 2022

Tell Us About Yourself:

First Name:

Email:

Phone Number:

Last Name:

Are you a returning member?

Yes

Yes and I need to update information

Pronouns:

Street Address

Street Address Line 2

City

Postal / Zip code

Region/State/Province

Country

Birthday

Race/Ethnicity:

Gender:

Family Country of Origin:

Highest Level Of Education:

High School

B.A. / B.S.

Graduate

Other

What did you major in:

Employer:

Does your employer offer corporate matching?

Yes

Are you interested in volunteering?

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

About the Training Environments:

Group strength and yoga via ZOOM on Mondays at 630pm
Group swim Tuesdays at the YMCA on East 47 Between 3rd & 2nd Ave
Running Wednesdays 630pm @ Central Park
Group cycling (5 in person Saturdays Oct & Nov, then via ZOOM Thursdays Dec through Feb.)

Cycling outdoors 5 Saturdays before Thanksgiving at Harriman State Park 7:30am, Zoom Cycling Thursdays from December through February at 6:30 pm.

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 Yoga/Swim/Run/Bike Starts 10/18/2021, Ends 2/24/2022 $879

Strength / Yoga; Starts 10/18/2021 , Ends 2/21/2022 $235

Pool Swim; Starts 10/19/21, Ends 2/22/2022 $560

Group Run; Starts 10/20/21, Ends 2/23/21 $235

Group Bike; Starts 10/23/2021, Ends 2/24/2022 $325

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

Learn to Swim

Beginner / Intermediate

Intermediate/ Advanced

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