SVTC Membership Form
Use this form for new memberships or renewals, of all types. All memberships are valid for 1 year beginning on Nov 1st and expiring on Oct 31st. This membership form consists of 3 sections:
1. Payment submission via PayPal
2. Basic information, emergency contact, & membership type
3. The waiver
* Required
New membership or renewal? *
Please select 'Renewal' if you have paid SVTC dues in the past and are likely already in our database. Otherwise, please select 'New.'
Full Name *
(First and Last name)
Your answer
Address *
(Number and Street Name)
Your answer
City *
Your answer
State *
(Two letter abbreviation)
Your answer
Zip Code *
Your answer
Contact Number *
Your preferred phone Number (xxx-xxx-xxxx)
Your answer
Email Address *
Your answer
USAT number (leave blank if you are not a USAT member)
Your answer
Date of Birth (mm/dd/yyyy)
Your answer
Gender *
(M)ale or (F)emale
Emergency Contact *
Name of your emergency contact
Your answer
Emergency Contact Phone *
Phone number of your emergency contact (xxx-xxx-xxxx)
Your answer
By checking the box below, you agree, warrant and covenant as follows:
I acknowledge that a triathlon or multisport event or training can be 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 STEEL VALLEY TRIATHLON CLUB FUNCTIONS, including training, educational and social events (collectively, "Events"). I certify that I am physically fit, have sufficiently trained for participation in Steel Valley Triathlon Club Events and have not been advised otherwise by a qualified medical person. I acknowledge that my statements are being accepted by the Steel Valley Triathlon Club and are being relied on by the Steel Valley Triathlon Club Organizers and the administrators in permitting me to participate in any organized Club Event.

In consideration for allowing me to become a Club Member in the Steel Valley Triathlon Club and allowing me to participate in Club Events, 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 adopted by USA Triathlon, including the Medical Control Rules, as they may be amended from time to time, and I acknowledge that my Club membership may be revoked or suspended for violation of the Competitive Rules; b) I AGREE to abide by Steel Valley Triathlon Club rules and code of conduct, as they may be modified at any time and at Steel Valley Triathlon Club's sole discretion, and by the rules established for any Steel Valley Triathlon Club Event; c) 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 travelling to and from an organized Club Event, THE FOLLOWING PERSONS OR ENTITIES: Steel Valley Triathlon Club, Club Sponsors, Steel Valley Triathlon Club volunteers, all states, cities, countries or localities in which Club functions or segments of Club functions and held, and the officers, directors, employees, representatives, and agents of any of the above; d) 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 e) I INDEMINIFY AND HOLD HARMLESS the persons or entities mentioned above from any claims made or liabilities assessed against them as a result of my actions during an organized Club function. I HEREBY AFFIRM THAT I AM EIGHTEEN (18) YEARS OF AGE OR OLDER, I HAVE READ THIS DOCUMENT, AND I UNDERSTAND ITS CONTENTS. If the applicant is under eighteen (18) years of age, their parent/guardian must sign this annual waiver and release form and an additional release available from the Club.
Check this box to verify that you have read the waivers and agree to them *
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