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Masters / Tri - Spring Session
Personal Information
*E-Mail:Valid e-mail is required
*First Name:
*Last Name:
*Local Address:
Local Address Line 2:
*City:
*Province
*Postal Code:
Gender:
Date of Birth:
*Phone:
Cellular:
Administrative Information
*Membership Status
Returning Member
New Member
All group members must be registered with either Triathlon BC or Masters BC.
*Current Membership
Triathlon BC
Masters BC
None
Membership NumberTri-BC or Masters BC
*Ability Level
*Training Time
AM Times (Tues / Thurs) 5:30-7am - Long Course
PM Times (Mon / Wed / Fri) 7-8pm - Short Course
Select your Training Group
Emergency / Medical Information
*Emergency ContactFull name of emergency contact
*Phone:
*E-Mail:
Relevant Medical Information:ie.Allergies, diabetes, etc
MedicationsAny medications you are taking
Payment Information
*Cost
$285.00
*I would like to pay using
Credit Card
Important Notes:

1. A once per year registration fee of $35.00 will be included in the charges.
2. All Credit Card payments will be charged a 3% administrative fee for a total cost of $206.00.
3. Any outstanding fees after April 14, 2008 will result in loosing your spot to someone on the wait list.
Please check the box below to indicate you understand that any cancellation after submitting this form will result in an administrative fee of $50.00 being charged.
*Cancellation Policy Agreement:
Total Cost:
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