Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

DOB *

MM

DD

YYYY

Select the date you would like to start your FREE trial? *

MM

DD

YYYY

Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

What programs or services are you interested in? (Check all that apply) *

Tri Club Membership

Open Water Swim Program

Run Program

Bike Program

Winter Training Facility

Variety of Clinics/Workshops (Only applicable to Paid Members)

Highschool Triathlon Club (Ages 13-18)

What is your triathlon or endurance sport background? Have you ever tried to or completed a: *

Triathlon

5K or 10K Run Event

1/2 Marathon or Marathon

Cycling event (CRCA, Century Ride, etc)

Obstacle Course Race (i.e. Tough Mudder, Spartan, Deka...)

Ultra Race

Other

None

Participant Waiver *

Please read our Waiver (located below) and check the box below to agree to its terms and conditions. I hereby warrant that I have read this Agreement carefully, understand its terms and conditions, acknowledge that I will be giving up substantial legal rights by signing it (including the rights of the minor, my spouse, children, parents, guardians, heirs and next of kin, and any legal and personal representatives, executors, administrators, successors and assigns), acknowledge that I have signed this Agreement freely and voluntarily, without any inducement, assurance or guarantee, and intend for my signature to serve as confirmation of my complete and unconditional acceptance of the terms, conditions and provisions of this Agreement. This Agreement represents the complete understanding between the parties regarding these issues and no oral representations, statements or inducements have been made apart from this Agreement. If any provision of this Agreement is held to be unlawful, void, or for any reason unenforceable, then that provision shall be deemed severable from this Agreement and shall not affect the validity and enforceability of any remaining provisions.

I have read and agree to the terms in the CNY Triathlon Club Waiver

Two-Week Free Trial *

Two-week free trial is valid for one year from the date of registration. Participants have access to the CNY Triathlon Club's Training Calendar. Additional details, including days, times and meet up locations for the weekly Group Workouts can found on the Calendar Webpage. Participants are limited to 1 free trial per person and is non-transferable.

I have read and agree to the Free Trial Terms & Conditions