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White Rose Triathletes - Junior Membership Form (Under 18's)

Cost for Juniors - free
All boxes marked with a * are compulsory

* First Name
* Surname
* Address
Address
Town
* Postcode
Telephone
Mobile
* E-mail
* Gender
* Date of Birth
 
* Next of Kin
* Contact Telephone
 
* Medical Issues
If Yes, Please Give Details
 
* Do you agree to abide by the rules of White Rose Triathletes ºº
Tick box to agree.
* Parent / Guardian Name
Please ensure all details are correct before pressing submit.
   
Notes
  
ºº
 The rules of White Rose Triathletes as laid out in the clubs constitution are:-

 

 

 

 
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