2007 TRI DALLAS MEMBERSHIP APPLICATION

$40 Individuals, $70.00 for Family and $25 for Youth

PLEASE PRINT:                                                                                     Sex      Shirt Size

1._____________________________________________/____/____  M  F   S  M L  XL

       First Name                                               Last Name                     Birth Date

                                                                                                                                                      Sex            Shirt Size

2.____________________________________________/____/_____ M  F    S  M  L XL

First Name                                                                Last Name                    Birth Date

________________________________________________________________________

          Street Address                                                                                            Apt. #/  Suite #

1.______/______/__________    ______/______/_______  ______/______/___________

         Home Phone                                            Work Phone                                   Cell Phone

______/______/__________    ______________________________________________

        Fax #                                                               email    (Important that we can read this address)

__________________________////___________________________________________

  USA TRIATHLON MEMBERSHIP #               How did you hear about TRI DALLAS?

2.______/______/_________  _______/______/_______  _______/______/___________

Home Phone                                              Work Phone                                                   Cell Phone

_______/______/_________  _______________________________________________

      Fax # email     (Important that we can read this address)

__________________________////___________________________________________

 USA TRIATHLON MEMBERSHIP#            How did you hear about TRI DALLAS?

With the help of our members we are able to support and offer many activities to the membership.   As a volunteer you can help keep this partnership going.  Some positions require a one time commitment while others require more time.  Most of you will be assisting a committee chairperson unless you indicate that you would be willing to head up that particular activity.  Everyone benefits from your willingness to volunteer.  Participation is the key to meeting people, learning more about triathlon/duathon, improving your skills and having fun as a club.

****MAY WE PUBLISH YOUR:_____Name  _____Phone#  ______Zip Code  ______Email Address

To members of the club?

RELEASE:  I acknowledge that triathlon/duathlon have certain inherent physical risks.  I agree to participate at my own risk in triathlon/duathlon and any related training events at my own risk.  I realize that Tri Dallas is a non-profit organization formed to advance the sport of triathlon/duathlon, the efforts of which directly affect and benefit me.  In consideration of my membership in Tri Dallas, I release and forever discharge Tri Dallas, its officers, members and sponsors from all liability, claims, losses, costs or expenses, and I waive any such claims against any such persons or organizations arising directly or indirectly from or attributable in any legal way to any negligent action or failure to act by any such person or organization in connection with sponsorship, organization, or participation in any triathlon/duathlon competition or any training event related to triathlon/duathlon, including travel to and from such competition or event.

1._______________________________________________________________________/______/______

  Signature of member                                                                                                                         date

2.____________________________________________________________________/______/_________

  Signature of member                                                                                                                         date

MAKE CHECKS PAYABLE TO: TRI DALLAS and Mail to:

For more information or if you have questions, please contact:   Elizabeth Johnson

                                                                                                                5555 Amesbury Drive, #613

                                                                                                                Dallas, Texas 75206

EJlongswim@aol.com or 214-724-0497