Bring with you: Windtrainer, bike, bike shoes, towel, front wheel mount, multi-sport watch, drink bottle. We will set up from 5:55 pm. A small number of windtrainers are available to hire for $5/session & need to be booked in advance - contact Jenny.

Name *

Email *

Phone *

Next of kin - name and phone number *

Are you a current member of the Wellington Triathlon Club?

Yes

I am signing up for: *

Term 3: 8 Sessions (non-Tri Club) $64

Term 3: 8 Sessions (Tri Club only) $48

Term 3: 4 Sessions (Tri Club only) $32 (first 4 or final 4 sessions only)

Main reason for coming

I.e. general fitness; Sprint Tri; Standard Tri; Cozumel World Champs; Half Events; Ironman; Round Taupo; etc.

How do you rate your fitness

1 = Never exercised, 2 = Unfit but have exercised regularly in the past; 3 = Exercise regularly 4 = Exercise every day 5 = Exercise every day and am serious about it

Add any extra notes or questions below:

PERSONAL WAIVER

THESE CONDITIONS ARE HERE TO ENSURE TRACTION EVENTS ARE FUN AND SAFE FOR EVERYONE - PLEASE READ THEM AND SIGN IF YOU ARE HAPPY TO ABIDE BY THE CONDITIONS.

*

I have read and agreed with the terms of the Personal Waiver

Payment To - Bank Acct Number 02 0828 0088647 000 ; Acct Name, Jenny Rose Ltd

Please ensure you clearly reference your name when paying. If you would like to make another form of payment note down above or call me.

Windtrainer Registration

Tuesday Windtrainer - Hard.Fast.Results.