Membership Form
The Las Vegas Triathlon Club Mission Statement

The Las Vegas Triathlon Club builds the courage, confidence and character of its membership from recreational to the elite athlete through the sport of triathlon and other endurance sports with an emphasis on lifelong participation, safety and enjoyment.

Las Vegas Triathlon Club Memberships expire on December 31st of each year





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Primary Member
Last Name* First Name* Middle Initial
date of birth*
Address*
City* State* Zip code*
Telephone* E-mail*
Emergency Contact Emergency phone #
Gender*: Shirt size*
USAT Membership # (if applicable)

Additional Family Members
Last Name First Name DOB
Phone Email
Gender:  
USAT Membership # (if applicable)

Last Name First Name DOB
Phone Email
Gender:  
USAT Membership # (if applicable)

Last Name First Name DOB
Phone Email
Gender:  
USAT Membership # (if applicable)

Volunteer Info
The LV Tri Club is a volunteer based organization that needs a lot of volunteers to thrive, would you be willing to volunteer for:
Other:

CLUB WAIVER *****Acceptance required*****
PLEASE READ CAREFULLY BEFORE ACCEPTING ACKNOWLEDGEMENT, WAIVER and RELEASE FROM LIABILITY (AWRL)

I acknowledge that triathlon or multi-sport is an extreme test of a person’s physical and mental limits and carries with it the potential for death, serious injury, and property loss. I HEREBY ASSUME THE RISKS OF PARTICIPATING IN ALL TRIATHLON CLUB FUNCTIONS. I certify that I am physically fit, have sufficiently trained for participation in this event(s), and have not been advised otherwise by a qualified medical person. I acknowledge that my statements on this AWRL are being accepted by the USA Triathlon (USAT) in consideration for allowing me to become a club member in a USAT Chartered Club and are being relied upon by USAT and the club organizers and administrators in permitting me to participate in any organized club function.
In consideration for allowing me to become a club member in a USAT Chartered Club and allowing me to participate in organized club functions, I hereby take the following action for myself, my executors, administrators, heirs, next of kin, successors, and assigns: a) I AGREE to abide by the Competitive Rules; b) I WAIVE, RELEASE, AND DISCHARGE from any and all claims or liabilities for death, personal injury, property damage, theft or damages of any kind which arise out of or relate to my participation in, or my traveling to and from an organized club function, THE FOLLOWING PERSONS OR ENTITIES; USAT, USAT Chartered Clubs, club sponsors, volunteers, all states, cites, counties, or localities in which club functions or segments of club functions are held, and the officers, directors, employees, representatives, and agents of any of the above; c) I AGREE NOT TO SUE any of the persons or entities mentioned above for any of the claims or liabilities that I have waived, released, or discharged herein; and d) I INDEMINIFY AND HOLD HARMLESS the persons or entities mentions above from any claims made or liabilities assessed against them as a result of my actions during an organized club function.

Please Check Each of The Following:

This Release is an agreement between the Participant identified below and Las Vegas Triathlon Club
All Las Vegas Triathlon Club memberships expire on December 31st of each year at 12am, regardless of
when a membership is activated. Existing members that desire to continue their membership are required
to submit a new Membership Form no later than January 31st.

I understand that I am responsible for all costs associated with my participation in races and other events
(i.e. registration costs, transportation, lodging, meals, etc.) I understand that Las Vegas Triathlon Club
Members are entitled to Las Vegas Triathlon Club member benefits as set forth by our annual sponsors. I
understand that all benefits are dependent upon Sponsor pledges and other matters beyond Las Vegas
Triathlon Club control. I understand that all Las Vegas Triathlon Club benefits are subject to change
without notice and Las Vegas Triathlon Club shall not be held liable for any such changes. I understand
that my membership with Las Vegas Triathlon Club does not include a health insurance policy and that Las
Vegas Triathlon Club shall not be responsible for any portion of my health care and that Las Vegas
Triathlon Club strongly recommends that I maintain a health insurance policy in full force and effect.

I understand there are serious known and unknown risks associated with triathlon racing. I fully realize the
dangers of participating in swimming, bicycle riding and running and I assume full responsibility for the
risks associated with my participation, including, but not limited to the dangers of collision, dangers arising
from surface hazards, water hazards, equipment failure, inadequate safety equipment, operator error,
weather conditions, and all other known and unknown risks.

I understand and accept full responsibility for all possible physical and/or mental trauma or injury, including
death, associated with the sport of triathlon competition.

I agree to wear my helmet at all times while participating in any Las Vegas Triathlon Club events, training
or racing.

This Membership Form is made in the state of Nevada and shall in all respects be governed by and
construed in accordance with the laws of that state. Any and all suits seeking to enforce any provision of
this agreement shall be instituted and maintained in the courts of Clark County, Nevada, and the Parties
consent to the jurisdiction of such courts. Las Vegas Triathlon Club assumes no responsibility for any
promises, oral or written, beyond what is contained in this Membership Form and the official Las Vegas
Triathlon Club documents and website (www.LVTriClub.com). I have read, understand and agree to abide
by all terms and conditions of membership.

 

I HEREBY AFFIRM THAT I AM EIGHTEEN (18) YEARS OF AGE OR OLDER, I HAVE READ THIS DOCUMENT AND I UNDERSTAND ITS CONTENTS.
I AGREE
If member is under 18 years of age you must use the mail in application and have a parent or guardian sign the waiver


When you click submit you will be directed to our online store for payment. Your appliation will not be complete until payment is recieved.