Membership

Welcome to the Newry Tri Club Membership Section!

There are now two ways to join our club, preferably by online membership as below or the old fashioned way of filling out the membership form as below and posting directly to me.

Please read the notes below, fill out the form and pay by PayPal or through your debit / visa card.

Newry Club Fees for 2012 as below;

Full Member £20
Family Membership £30 (consists of 1 couple / married / civil partners / etc)
Juniors (under 19 on 31st dec 2011) £1
Students and OAP’s £10

You can join Newry Tri Club by filling out the attached form and posting to the address supplied. Please do not join Newry Tri Club via the TI online system as the fees have not been reduced and you will be charged the extra.

If you do fill out the form manually please avoid giving forms / monies to committee members at the pool as they still have to post to me so don't be tight - buy your own stamp!

You are responsible for your own membership. Any form received with missing information will be returned.

Any queries on any of the above please contact me on 07988938698 or email david@banbridge.com

Good Luck!

David

Please fill out membership form below or

Click Here to download Membership Form

You need Acrobat Reader to open it click here to get it..

Full Name(*)

Please type your full name.

Tri Ireland No.

Please type your Triathlon Ireland Number.

Partners Details (Couples Membership)

Full Name

Please type your full name.

Tri Ireland No.

Please type your Triathlon Ireland Number.

Membership Required(*)

Couple - 30.00 GBP
Senior - 20.00 GBP
Student - OAP - 10.00 GBP
Junior - Under 19 - 1.00 GBP
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Total Cost

0.00 GBP

Address

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Address Line 2

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Town

Please type your town or city.

County

Please type your county.

Post Code

Please type your Post Code.

E-mail(*)

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Home Phone

Please type your home phone number.

Mobile Phone(*)

Please type your mobile phone number.

Work Phone

Please type your work phone number.

How should we contact you?

E-mailPhoneNewsletterMail

Date of Birth(*)

Please type your date of birth.

Age (on 31st Dec)(*)

19 or under
20-30
31-40
41-50
51-60
61+
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Under 18's membership

Parent/Guardian

Please type your parent or guardian full name.

E-mail

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Home Phone

Please type your guardian's home phone number.

Mobile Phone

Please type your guardian's mobile phone number.

Work Phone

Please type your guardian's work phone number.

Please read the waiver below and tick the box to confirm you have read and agree to it.

Waiver Please read carefully before ticking acknowledgment box indicating you agree to the terms, waiver and release from liability (AWRL) I acknowledge that a triathlon or duathlon event is an extreme test of a person's physical and mental limits and carries with it potential for death, serious injury, and property loss. I HEREBY ASSUME THE RISKS OF PARTICIPATING IN TRIATHLONS OR BI-SPORT / DUATHLON EVENTS. I certify that I am physically fit and have sufficiently trained for participation in this event(s), and have not been advised against participation by a qualified health professional. Acknowledge that my statements on this AWRL are being accepted by Irish Triathlon Association ("ITA") and Newry Triathlon Club in consideration for allowing me to become a member in ITA and are being relied upon by ITA and the various race sponsors, organizers and administrators in permitting me to participate in any ITA sanctioned event. In consideration for allowing me to become a member of ITA and allowing me to participate in ITA sanctioned events, I hereby take the following action for myself, my executors, administrators, heirs, next of kin, successors, and assigns, or anyone else who might claim or sue on my behalf, and I expressly acknowledge that it is my intent to take these actions: (a) I AGREE to abide by the Competitive Rules adopted by ITA, including the Medical Control Rules as they may be amended from time to time, and I acknowledge that my membership may be revoked or suspended for violation of the Competitive Rules; (b) I AGREE that prior to participating in an event I will inspect the race course, facilities, equipment, and areas to be used and if I believe any are unsafe I will immediately advise the person supervising the event activity facilities or area; (c) I waive, release, AND DISCHARGE from any and all claims, losses, or liabilities for death, personal injury, partial or permanent disability, property damage, medical or hospital bills, theft, or damage of any kind, including economic losses, which may in the future arise out of or related to my participation in or my traveling to and from a ITA and Newry Triathlon Club sanctioned event, THE FOLLOWING PERSONS OR ENTITIES: ITA, EVENT SPONSORS,RACE DIRECTORS,EVENT PRODUCERS, VOLUNTEERS, ALL CITIES, COUNTRIES, OR LOCALITIES IN WHICH EVENTS OR SEGMENTS OF EVENTS ARE HELD, AND THE OFFICERS, DIRECTORS, EMPLOYERS, REPRESENTITIVES AND AGENTS OF ANY OF THE ABOVE. EVEN IF SUCH CLAIMS, LOSSES, OR LIABILITIES ARE CAUSED BY THE NEGLIGENT ACTS OR OMISSIONS OF THE PERSONS I AM HEREBY RELEASING OR ARE CAUSED BY THE NEGLIGENT ACTS OR OMISSIONS OF ANY OTHER PERSON OR ENTITY; (d) I ACKNOWLEDGE, that there may be traffic or persons ON THE course, route and I ASSUME THE RISK OF RUNNING, BIKING, SWIMMING OR PARTICIPATING IN ANY OTHER EVENT SANCTIONED BY ITA. I also ASSUME ANY AND ALL OTHER RISKS associated with participating in ITA or Newry Triathlon Club sanctioned events including, but not limited to falls, contact and/or effects with other participants, effects of weather including heat and / or humidity, defective equipment, the condition of the roads, water hazards, contact with other swimmers or boats, and any hazard that may be posed by spectators or volunteers. All such risks being known and appreciated by me, I further acknowledge that these risks include risks that may be the result of the negligence of the persons or entities mentioned above in paragraph (c) or of other persons or entities; (e) I AGREE NOT TO SUE any of the persons or entities mentioned above in paragraph (c) for any of the claims, losses, or liabilities that I have waived, released, or discharged herein; (f) I IDENTIFY AND HOLD HARMLESS the persons or entities mentioned above in paragraph (c) from any and all claims made or liabilities assessed against them as a result of: (I) my actions or inaction's: (ii) the action's, inaction's or negligence of others including those parties hereby indemnified: (iii) the conditions of the facilities, equipment or areas where the event or activity is being conducted: (iv) the Competitive Rules; or (v) any other harm caused by occurrence related to ITA sanctioned event; and (g) I GRANT PERMISSION for the use of my name and / or likeness relating to my participation in a ITA sanctioned event, and I WAIVE all rights to any future compensation to which I may otherwise be entitled as a result of the use of my name or likeness, I HEREBY AFFIRM THAT I AM EIGHTEEN (18) YEARS OLD OR OLDER, I HAVE READ THIS DOCUMENT, AND I UNDERSTAND IT'S CONTENTS.

If person is under 18 years of age, a parent or legal guardian must agree to the above AWRL the following section. I the parent and natural guardian of(minor's name)hereby acknowledges that he / she has executed the foregoing AWRL for and on behalf of the minor named herein, as the natural or legal guardian of such a minor. I hereby bind myself, and our executors ADMINISTRATORS, heirs, next of kin, successors, and assigns to the terms of the foregoing AWRL. I represent that I have the legal capacity and authority to act on behalf of the minor named herein, and I agree to identify and hold harmless the persons or entities mentioned in the forgoing AWRL for any claims made or liabilities assessed against them as a result of any insufficiency of my legal capacity or authority to act for and on behalf of the minor in the execution of the foregoing AWRL or in the execution of this consent. I hereby authorize any licensed physician, emergency medical technician, hospital or other medical health care facility ('Medical Provider') to treat the minor named for the purpose of attempting to treat or relieve any injuries received by said minor arising out of or relating to any event sanctioned by ITA. I authorize any such Medical Provider to perform all procedures deemed medically advisable in attempting to treat or relieve any such injuries and any related conditions of said minor that may be encountered during the course of attempting to treat or relieve such injuries. I consent to the administration of anesthesia as deemed advisable during the course of such treatment. I realize and appreciate that there is a possibility of complications and unforeseen consequences in any medical treatment, and I assume any such risk for and on behalf of myself and said minor. I acknowledge that no warranty is being made as to the results of any medical treatment.

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Accept Waiver(*)

I Accept the WaiverInvalid Input

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