2023/2024 MEMBERSHIP APPLICATION First Name *Last Name *Phone Number *Email Address *Street AddressCityZIP / Postal CodeSexMaleFemaleBirth Date *Payment *$25.00$10.00HTMLRELEASE AND INDEMNITY l, the applicant, on behalf of myself, members of my family, my heirs, executors Administrators and assigns, hereby forever release and hold harmless The Penticton Triathlon Club representatives and agents for any injury, loss or damage to my person or property howsoever caused, arising out of or in connection with my taking part in Penticton Triathlon Club organized events and activities and notwithstanding that the same may have been contributed to or occasioned by the negligence of Penticton Triathlon Club representatives, officers or agents. I have read and understand the above Release and Indemnity, and in witness thereof, I hereunder set my signature this day Consent Date *Consent *I acknowledge I have read the Release & IndemnityWhat would you like from the Tri Club?Send Message . . .
