Membership - Step 1 - Your Details

Please complete the form below giving as much information as possible - mandatory fields are marked *. If you have any problems, please contact our membership secretary at membership@man-tri-club.org.uk.

Personal Information First Name *: Birth Date *:
Last Name *: BTA No:

Address Line 1 *: Home Phone No *:
Address Line 2: Mobile Phone No:
Town *: Email Address *:
County: Gender (M/F) *:
Postcode *:

Safety Information Emergency Contact *: Emergency No *:

Photo

Please upload a photo to use in the MTC "rogues gallery" (when I get around to writing the page!).

We only accept JPEG images and if the size is greater than 250px it will be automatically resized. PLEASE don't submit very large images as it will take a long time for your form to be processed and the server may crash!

Photo:

Website Details I agree to my photo and name being included in the Members' Gallery on the Website (available to members only).

Occasionally our sponsors may wish to contact you by email about their triathlon-related goods and services. All emails from sponsors will be checked and sent by MTC; your details will not be passed on to any third party. If you wish to receive such emails please tick this box:

Please enter a password of 6 - 12 characters. This will be used at a later date when you need to access your information on this website. Please note, this is your Manchester Triathlon Club password, it is not related to PayPal.