Members application

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DOB:   Gender:   Grade level:

E-mail:    Cell:   Home:

Address:

      City:         State:      Zip:

Discipline(s) you like to participate in:

Current shape you are in (1 = bad, 5 = great):

Number of triathlons participated in:

Other competitions (run, duathlon etc.):

Experience level (1 = none, 5 = great):

Prefered number of practice sessions per week:

Best time/day for practice for Fall 07 (if you know):

Goals for Summer/Fall:

Expectations in the club:

Comments/Suggestions: