WTC Online Registration Form

Name:

Email Address:

Phone Number:

Address (including Postal Code):

Gender:

Date of Birth:

Your Age on December 31st of this year:

Emergency Contact Name:

Emergency Contact Phone Number:

*Triathlon Ontario Number:

Please list any allergies or Medications:


Please list any medical issues:


I have read and agree to the Release Waiver below.

Release Waiver





The Woodstock Triathlon Club Membership fee is $25.00

Please make cheques payable to Woodstock Triathlon Club, and send cheques to:
WTC Membership
432 Fairway Rd
Woodstock, ON
N4T 0E1
Please do not send cash in the mail.

*Triathlon Ontario registration must be done online at Triathlon Ontario’s website. Contact us for the club code to save $10.