Club Contact:______
Signature:______
TRIATHLON WA
ABN 94 233 007 720
PO Box 57 CLAREMONT WA 6910
Phone: (08) 9387 2907. Fax: (08) 9387 8018
Email:
Website: www.triwa.org.au
2010/2011 SECONDARY CLUB MEMBERSHIP
You must be a current 2010/2011 member of Triathlon WA to obtain secondary club membership. Confirmation of membership status will be sought from Triathlon WA. Providing misleading information in this regard will result in your membership request being denied and fees paid to be forfeited.
(* Required fields)
2010/2011 Member#* Primary Club*:
Name*(Ind./FamilyMemb1) M / F DOB* Age (31/12/2010)*
Name (Member2) M / F DOB Age (31/12/2010)
Name (Member3) M / F DOB Age (31/12/2010)
Name (Member4) M / F DOB Age (31/12/2010)
Postal Address*: Suburb*: P/Code*:
Telephone*: Home: Work: Mobile:
Fax: Occupation:
Email*: Do you wish to receive information via email? Y N
Medical Conditions*? (Write ‘Nil’ if none)
Emergency Contact: Name* Number*
2010 - 2011 MEMBERSHIP TYPES
TICK THE BOX NEXT TO THE APPLICABLE PRIMARY AND SECONDARY MEMBERSHIP TYPE – NOT ALL CLUB MEMBERSHIP TYPES AVAILABLE FOR EACH PRIMARY MEMBERSHIP TYPE. ONLY VALID MEMBERSHIP COMBINATIONS WILL BE ACCEPTED.
2010/2011 PRIMARY MEMBERSHIP TYPE / SECONDARY CLUB MEMBERSHIP TYPESENIOR / JUNIOR / TRYStars / SOCIAL / FAMILY
Senior Competitive (20+)
Junior Competitive (U/20)
TRYStars
Family
Social
Unattached
Club Fee $30 / SEND SIGNED FORM AND PAYMENT DIRECTLY TO YOUR CHOSEN SECONDARY CLUB. See www.triwa.org.au/clubs.htm for details
CASH ONLY
TOTAL OWING: $ .
I agree that I am a current member of Triathlon WA and confirm my agreement to abide by all Triathlon Australia rules and regulations including the State Triathlon Association Rules, Code of Conduct and TA Doping Policy. I recognise that these may change from time to time and it is my responsibility to ensure I am aware of all rules and regulations including those as they relate to secondary club membership.
Signature:(Ind/Parent/Guardian) (Snr2) Date:
MEMBERSHIP CATEGORIES
For more details on membership types, see http://www.triwa.org.au/membership.htm#3. For a full list of membership benefits, go to http://www.triwa.org.au/membership1.htm.
COMPETITIVE MEMBERSHIP: This is a full membership giving all possible rights of membership and is open to all members whether they choose to be a member of a club or not.
SOCIAL MEMBERSHIP: Only available to Club members. This is a reduced cost membership for friends, family and partners who do not participate in triathlons by training and competing but are very much part of the triathlon family behind the scenes.
Within the three levels of TWA membership there are various options:
FAMILY MEMBERSHIP: Only available to Club Members. This is a reduced cost membership for families of two (2) competitive adults and one (1) or two (2) competitive juniors/TRYStars (u/20) that live as a family unit at the same address OR one (1) competitive senior and up to three (3) competitive juniors/TRYStars. Additional persons should be registered individually. One (1) copy of all publications will be sent per family membership.
JUNIOR MEMBERSHIP: applies to athletes aged 19 or less as at 31 December 2010.
TRYSTARS MEMBERSHIP: This membership is available to children aged 7yrs – 15yrs (as at 31st December 2010). Children aged 12yrs and over (as at 31st December 2010) are eligible to compete in the TWA Junior distance State Series races. All children under the age of 12yrs (as at 31st December 2010) will participate at club level.
UNATTACHED MEMBERSHIP: applies to members who do not join a club at the time of registration.
Club membership is ADDITIONAL to Triathlon WA membership; otherwise, the unattached rate applies.
You can join as many clubs as you wish however, the club you register with initially is your PRIMARY club. All other clubs are your SECONDARY clubs and you may join them directly once you are a member of TWA.
FOR ALL YOUR MEMBERSHIP ENQUIRIES, www.triwa.org.au