Selected Club Affiliation Submission Total Price: £165.00 Need Help? [email protected] 01509 226199 Club details Club Name * Club Type * (Not sure click here) Select Closed Commercial Community Triathlon Club Single Discipline Does the club have an open and non-discriminatory Club Constitution ?* (Click here to download the British Triathlon Club Constitution Template) -Select- Yes No Club Category* If you have junior members, you will need to affiliate as a community or sponsored triathlon club. Select Adult & Junior Adult Only Junior Only Club Description (500 characters left) * Club Email * Club Phone Number Password * Confirm Password * Club Social Media Club Website Link Club Facebook Page Link Club Twitter Link Club Instagram Link Club members details Club Members Adult Female (18 or above) * Adult Male (18 or above) * Junior Female (under 18) * Junior Male (under 18) * How many of these members have a disability or long-term condition? * Club Address details Postcode * Important - Please provide an address for the club's main training venue. Please do not provide a home or other personal address. Pick Address * -Select- Address Line 1 * Address Line 2 Town * County * Select Aberdeen City Aberdeenshire Angus Argyll and Bute Avon Bedfordshire Berkshire Berwickshire Buckinghamshire Cambridgeshire Channel Islands Cheshire Clackmannanshire Cleveland Clwyd Cornwall County Antrim County Down County Durham Cumbria Derbyshire Devon Dorset Dumfries and Galloway Dundee City Dyfed East Ayrshire East Dunbartonshire East Lothian District East Renfrewshire East Sussex East Yorkshire Edinburgh City Essex Falkirk Fife Glamorgan Glasgow City Gloucester Gloucestershire Greater Manchester Gwent Gwynedd Hampshire Herefordshire Hertfordshire Highland Humberside Inverclyde Inverness-Shire Isle of Man Isle of Wight Kent Lancashire Leicestershire Lincolnshire London Merseyside Mid Glamorgan Middlesex Midlothian Moray Morayshire Norfolk North Ayrshire North Humberside North Lanarkshire North Yorkshire Northamptonshire Northumberland Nottinghamshire Orkney Islands Overseas - Non Applicable Oxfordshire Perth and Kinross Powys Renfrewshire Roxburghshire Rutland Scottish Borders Shetland Islands Shropshire Somerset South Ayrshire South Glamorgan South Humberside South Lanarkshire South Yorkshire Staffordshire Stirling Suffolk Surrey Swansea Tyne and Wear Warwickshire West Dunbartonshire West Glamorgan West Lothian West Midlands West Sussex West Yorkshire Western Isles Wiltshire Worcestershire Yorkshire Region * Select Channel Is/IoM East East Midlands London North East North West Overseas Scotland South Central South East South West Wales West Midlands Yorkshire Country * Select Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Channel Islands Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Republic of Kuwait Kyrgyzstan Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, the Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.s. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Club Contact Club Primary Contact Primary Contact Membership Number * Primary Contact Last Name* Club Chairperson Details Chairperson Name * Chairperson Email * Chairperson Membership No (If member of BTF) Club Secretary Details Secretary's Name * Secretary's Email * Secretary's Membership No (If member of BTF) Club Treasurer Details Treasurer Name * Treasurer Email * Treasurer Membership No (If member of BTF) Club Welfare details Does your club have members who are under 18 or adults at risk?* -Select- Yes No Club Welfare Officer Details All Club Welfare Officers must have a valid DBS and have attended Time to Listen Training, both within the past three years. Please ensure details provided match those provided for your DBS application and certificate Welfare Officer Name * Welfare Officer Email * Welfare Officer Membership No (If member of BTF) BTF DBS Certificate Number DBS Certificate Issue Date Time To listen - please confirm that your Welfare Officer has attended Time To Listen training within the past three years. Spot checks will be carried out to verify certificates.* -Select- Yes No Time To Listen Training Date* It is mandatory for Welfare offices to attend this training before yours clubs affiliation is approved. Training can be booked here - https://www.britishtriathlon.org/get-involved/education ClubSpark Details ClubSpark Details Will you be using ClubSpark?* -select- Yes No ClubSpark Contact Details ClubSpark Contact Name * ClubSpark Contact Email * Club Activities Details Activity Name* Location* Day* Select Monday Tuesday Wednesday Thursday Friday Saturday Sunday Start Time* Select 00:00 AM 00:15 AM 00:30 AM 00:45 AM 01:00 AM 01:15 AM 01:30 AM 01:45 AM 02:00 AM 02:15 AM 02:30 AM 02:45 AM 03:00 AM 03:15 AM 03:30 AM 03:45 AM 04:00 AM 04:15 AM 04:30 AM 04:45 AM 05:00 AM 05:15 AM 05:30 AM 05:45 AM 06:00 AM 06:15 AM 06:30 AM 06:45 AM 07:00 AM 07:15 AM 07:30 AM 07:45 AM 08:00 AM 08:15 AM 08:30 AM 08:45 AM 09:00 AM 09:15 AM 09:30 AM 09:45 AM 10:00 AM 10:15 AM 10:30 AM 10:45 AM 11:00 AM 11:15 AM 11:30 AM 11:45 AM 12:00 PM 12:15 PM 12:30 PM 12:45 PM 13:00 PM 13:15 PM 13:30 PM 13:45 PM 14:00 PM 14:15 PM 14:30 PM 14:45 PM 15:00 PM 15:15 PM 15:30 PM 15:45 PM 16:00 PM 16:15 PM 16:30 PM 16:45 PM 17:00 PM 17:15 PM 17:30 PM 17:45 PM 18:00 PM 18:15 PM 18:30 PM 18:45 PM 19:00 PM 19:15 PM 19:30 PM 19:45 PM 20:00 PM 20:15 PM 20:30 PM 20:45 PM 21:00 PM 21:15 PM 21:30 PM 21:45 PM 22:00 PM 22:15 PM 22:30 PM 22:45 PM 23:00 PM 23:15 PM 23:30 PM 23:45 PM End Time* Select 00:00 AM 00:15 AM 00:30 AM 00:45 AM 01:00 AM 01:15 AM 01:30 AM 01:45 AM 02:00 AM 02:15 AM 02:30 AM 02:45 AM 03:00 AM 03:15 AM 03:30 AM 03:45 AM 04:00 AM 04:15 AM 04:30 AM 04:45 AM 05:00 AM 05:15 AM 05:30 AM 05:45 AM 06:00 AM 06:15 AM 06:30 AM 06:45 AM 07:00 AM 07:15 AM 07:30 AM 07:45 AM 08:00 AM 08:15 AM 08:30 AM 08:45 AM 09:00 AM 09:15 AM 09:30 AM 09:45 AM 10:00 AM 10:15 AM 10:30 AM 10:45 AM 11:00 AM 11:15 AM 11:30 AM 11:45 AM 12:00 PM 12:15 PM 12:30 PM 12:45 PM 13:00 PM 13:15 PM 13:30 PM 13:45 PM 14:00 PM 14:15 PM 14:30 PM 14:45 PM 15:00 PM 15:15 PM 15:30 PM 15:45 PM 16:00 PM 16:15 PM 16:30 PM 16:45 PM 17:00 PM 17:15 PM 17:30 PM 17:45 PM 18:00 PM 18:15 PM 18:30 PM 18:45 PM 19:00 PM 19:15 PM 19:30 PM 19:45 PM 20:00 PM 20:15 PM 20:30 PM 20:45 PM 21:00 PM 21:15 PM 21:30 PM 21:45 PM 22:00 PM 22:15 PM 22:30 PM 22:45 PM 23:00 PM 23:15 PM 23:30 PM 23:45 PM Club Open Water Details Open Water Activity Does your club run open water sessions?* Select Yes No What is your primary location for open water sessions* Who owns the venue that you use for your club open water swimming? * Select The Club Council Water Authority Commercial Operator Other Are your club open water sessions coached or un-coached? * Select Coached Uncoached Both Are your club open water sessions open to non-club members? * Select Yes No How much do swimmers pay per open water session? * Club Coaches Details British Triathlon Coaches Does your club use triathlon coaches to take sessions? * -select- Yes No Please name all the triathlon coaches that take training sessions for your club, include their British Triathlon membership number. In order to meet the criteria the minimum your club needs is at least one British Triathlon Level 1 triathlon coach (post October 2016) or higher qualified British Triathlon triathlon coach. You do not need to produce copies of certificates, we will consult our records to see the highest level British Triathlon triathlon coaching qualification held by those named. Please note that your triathlon coaches will need to have a valid Home Nation membership to be insured. Coaches working with juniors should attend a UK Coaching Safeguarding and Protecting Children workshop, those working with only adults should attend a Coaching Adults at Risk workshop. Workshops can be booked by visiting our website - https://www.britishtriathlon.org/get-involved/education Note: All coaches working with juniors or adults at risk, on a regular basis, must hold a valid British Triathlon DBS. For further information, please contact [email protected]. Coach Last Name * British Triathlon Membership No* Group Coached* -select- Junior (Under 18) Adults Both DBS Certificate No Certificate Issue Date Single Discipline Coaches (example: swim, run coach etc..) Does your club uses single discipline coaches to take sessions? * -select- Yes No Please give their name and the highest qualification held in the table below. When we do the club visit prior to awarding TriMark Bronze accreditation we will need to see proof of their highest coaching qualification and a valid membership of that sport’s governing body, or evidence they are insured to coach. All single discipline coaches will need to have a DBS check done through British Triathlon. Please contact [email protected] to arrange a DBS check. Please ensure the first name and last name of the coaches exactly matches that of the details entered on the coach's DBS certificate. Coaches working with juniors should attend a UK Coaching Safeguarding and Protecting Children workshop, those working with only adults should attend a Coaching Adults at Risk workshop. Workshops can be booked by visiting our website - https://www.britishtriathlon.org/get-involved/education Coach First Name * Coach Last Name * Qualification* NGB Membership No Group Coached * -select- Junior (Under 18) Adults Both DBS Certificate No Certificate Issue Date Has this coach attended appropriate safeguarding training for the group that they coach? * -select- Yes No Club Activator Details Activators and Leaders Does your club use Activators to lead sessions? * -select- Yes No Please name all the Activators and Leaders that lead swim, bike or run sessions for your club. Include their British Triathlon membership number and last name. Please note that your Activators and Leaders will need have a valid British Triathlon membership to be insured. Activators and Leaders working with juniors should attend a UK Coaching Safeguarding and Protecting Children workshop, those working with only adults should attend a Coaching Adults at Risk workshop. Workshops can be booked by visiting our website - https://www.britishtriathlon.org/get-involved/education Note: Activators and Leaders with DBS checks will need to have sent a copy of the DBS check to [email protected] Activator Last Name * British Triathlon Membership No* Group Led* -select- Junior (Under 18) Adults Both DBS Certificate No Certificate Issue Date User Agreement User Agreement You have a right to be informed about how your personal data is being used. You can see full information on how we use your personal data within our privacy notice. I agree on behalf of the club and its officials to abide by British Triathlon’s club affiliation Terms and Conditions. * Selected Club Affiliation Submission Total Price: £165.00 Processing Application ... 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