CDTC Membership Application - 2025 – Capital District Triathlon Club

I acknowledge that triathlon, duathlons, or any multi-sport activity is an extreme test of a persons physical and mental limits and it carries with the potential for death, serious injury, and/or property loss. I HEREBY ASSUME THE RISKS OF PARTICIPATION IN MULTI-SPORT ACTIVITIES (triathlon, duathlons, etc.). I certify that I am physically fit, have trained for participation in these events, and have not been advised other wise by a qualified medical person.

I acknowledge that this AWRL form will be used by the Capital District Triathlon Club (CDTC) and the sponsors and organizers of all CDTC activities. Activities being of a workout ranging from a low-key nature up to and including race pace or social events affiliated with the club.

I hereby take action for myself, my executors, heirs, administrators, next of kin, successors and assign as follows:

A) WAIVE, RELEASE, DISCHARGE, AND AGREE NOT TO SUE, for any and all liability or my death, disability, personal injury, property damage, property theft or action of any kind which may hereafter accrue to me as a result of my participation in, or my traveling to and/or from any CDTC activity. THE FOLLOWING PERSONS OR ENTITIES: CDTC club officers, event sponsors, race directors, event producers, event volunteers, and all cities, counties, districts and/or states in which said events may be staged or in which segments of said events may be run and its (their) officers, directors, employees, representatives and agents and volunteers:

B) INDEMNIFY AND HOLD HARMLESS the persons or entities mentioned in the paragraph from any and all liabilities or claims made by other individuals or entities as a result of my actions during CDTC activities or events.

I realize that most CDTC activities are of a workout of social nature, and no traffic control will be in place during the event or activity. I will be responsible for knowing or following all of the traffic laws while participating in, practice for, or traveling to and/or from a CDTC event or activity.

I hereby consent to receive treatment in the event of my injury, accident, and/or illness during a CDTC activity.

I HEREBY CERTIFY THAT:
• I AM EIGHTEEN (18) YEARS OF AGE OR OLDER;
• I HAVE READ THE DOCUMENT AND FULLY UNDERSTAND ITS CONTENTS.

Member Criteria
Membership Type *	New Renewal
Member Information
Gender *	Female Male
Name *	First	Last
E-Mail *
Date of Birth (MM/DD/YYYY) *
Street Address *
Street Address 2
City *
State *
Zip Code *
Telephone Numbers *	Primary	Alternate (Optional)
Shirt Size (For Future Use Only) *	Small Medium Large X-Large
How did you hear about CDTC? *	Friend Other Tri Club Race Advertisement Other
Emergency Contact Information
Emergency Contact Name *	First	Last
Emergency Contact Telephone Number/Text *
Volunteering
Which area would you like to volunteer for? *	ADK Summer Expo Table Swim Course Set Up Highway cleanup Membership table - any Tuesday 6:30pm to 7:00pm CDTC Triathlon Volunteer Aug 15, 16 and 17th Assist with training camp Annual removal of buoys - (September)
Consent Information
Permission to provide member information to club sponsors? *	Accept Decline
Understand and Accept terms of waiver? *	I acknowledge that triathlon, duathlons, or any multi-sport activity is an extreme test of a persons physical and mental limits and it carries with the potential for death, serious injury, and/or property loss. I HEREBY ASSUME THE RISKS OF PARTICIPATION IN MULTI-SPORT ACTIVITIES (triathlon, duathlons, etc.). I certify that I am physically fit, have trained for participation in these events, and have not been advised other wise by a qualified medical person. I acknowledge that this AWRL form will be used by the Capital District Triathlon Club (CDTC) and the sponsors and organizers of all CDTC activities. Activities being of a workout ranging from a low-key nature up to and including race pace or social events affiliated with the club. I hereby take action for myself, my executors, heirs, administrators, next of kin, successors and assign as follows: A) WAIVE, RELEASE, DISCHARGE, AND AGREE NOT TO SUE, for any and all liability or my death, disability, personal injury, property damage, property theft or action of any kind which may hereafter accrue to me as a result of my participation in, or my traveling to and/or from any CDTC activity. THE FOLLOWING PERSONS OR ENTITIES: CDTC club officers, event sponsors, race directors, event producers, event volunteers, and all cities, counties, districts and/or states in which said events may be staged or in which segments of said events may be run and its (their) officers, directors, employees, representatives and agents and volunteers: B) INDEMNIFY AND HOLD HARMLESS the persons or entities mentioned in the paragraph from any and all liabilities or claims made by other individuals or entities as a result of my actions during CDTC activities or events. I realize that most CDTC activities are of a workout of social nature, and no traffic control will be in place during the event or activity. I will be responsible for knowing or following all of the traffic laws while participating in, practice for, or traveling to and/or from a CDTC event or activity. I hereby consent to receive treatment in the event of my injury, accident, and/or illness during a CDTC activity. I HEREBY CERTIFY THAT: • I AM EIGHTEEN (18) YEARS OF AGE OR OLDER; • I HAVE READ THE DOCUMENT AND FULLY UNDERSTAND ITS CONTENTS. Accept
Understand and Accept terms and conditions? *	By applying for new or renewed membership in the CDTC I have read and agree to the below terms and conditions as set forth in the membership code of conduct adopted by the CDTC board of directors: Code of Conduct Club Bylaws Amendment One to Bylaws Accept
Crystal Lake Training
Do you want to PrePay Crystal Lake Training Sessions? * (14 Weeks - Additional $100 Payment)	Yes No

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