RAINBOW WARRIORS TRIATHLON CLUB Team Membership Application Form NOTE: Before you can become a member, your application has to be approved and Annual Membership Fees paid First Name: Surname: Birthdate: Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015    Age: (on 31st December 2015) Gender: Select Male Female   YOUR CONTACT INFO Email: Mobile: Home Phone: Address: City:   EMERGENCY CONTACT INFO Contact Name: Contact Address: Contact Mobile: Contact Phone: Relationship to you:   A LITTLE MORE ABOUT YOU Have you ever done a triathlon? Yes No If yes, what is the longest distance Select DIstance Kids Tri Try-a-Tri Sprint Triathlon Olympic Triathlon Half Ironman Ironman Other Sporting background? Reason for joining the RWTC: Recreation / Social Activity Faster Times General Fittness Lose Weight Complete a Trithlon Other