KTC New Member Registration DO NOT USE

Welcome to Knutsford Tri Club, please complete the following form. You will then be directed to our payment page to complete a simple electronic direct debit mandate for the pay monthly subscription.

* indicates required

Name: Email: Comment:

Email Address *

First Name *

Last Name *

Address *

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Home Phone

Mobile *

DOB *

Gender *

MaleFemale

Next of Kin *

Name, Relationship, Contact Number

Doctors Name & Address

Are you allergic to any drugs? *

If yes, please list.

Are you taking any regular medication? *

If yes, please list.

Student

Tick if you are registered as a Student (18 year olds upwards)?

Club Rules & Communication

I have read and accept the Club Rules (see bottom of FAQ's on KTC website)

Knutsford Tri Club Membership New Member Registration

Knutsford Tri Club Membership
New Member Registration