Three ways to join:

1:  Print and mail this link:  Pintable PDF Version of Form

2:  Print and mail this web page.

3:  Online registration using Active Zach  -  Note select the 'Register for this Event' button at the bottom of the Active Zach Event Details page.

CHARLOTTE TRACK & TRIATHLON CLUB APPLICATION

Name:_______________________________________________________________

Address:_____________________________________________________________

City: ___________________     State: __________     Zip code:__________

Phone:(home)     ________________     (work)     _____________________

E-mail address:________________________________________________

Your        Sex:________   Age:________  Date of Birth: _______________

Spouses Sex:________   Age:________  Date of Birth: _______________ (if Family Membership)

Membership Type:

            New                   _____ or       Renewal _____                           

Dues:  Individual  $20 _____   Family     $25  _____             

    Note: Any memberships received after Sept 1st will be extended through Dec. 31st of the following year.

 

Make check payable to and mail to:

Charlotte Track & Triathlon Club PO Box 11364 Charlotte,  NC   28220

 My club participation will be as a _____ runner _____ triathlete _____ both.

I will assist with the following CTTC event and/or I am interested in serving on the following committee: (Please designate one club function)

_____Volunteer at Club Events	_____ Newsletter Committee
_____ CTTC Summer Track Series	_____ Public Relations Committee
_____ Program/Social Committee	_____ Education/Training Committee
_____ Membership Committee

APPLICATION AND WAIVER: I know that participating in and volunteering to work in club events are potentially hazardous activities. I should not enter in club activities unless I am medically able and properly trained. I agree to abide by any decision of a race/event official relative to my ability to safely complete the activity. I assume all risks associated with participating in and volunteering to work in club events including, but not limited to, falls, contact with other participants, the effects of the weather, including high heat and humidity, the conditions of the road, water and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application for membership, I, for myself and anyone entitled to act on my behalf, waive and release the CHARLOTTE TRACK & TRIATHLON CLUB and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in these club activities even though that liability may arise out of negligence on the part of the persons named in this waiver.

Signature: __________________________________Date: ____________

(Parents signature if under 18 years of age)

For more information call: 704-348-1655 or email: Mailbox@charlottetrackandtriclub.org