Selected Club Affiliation Payment Total Price: £105.00 Need Help? membership@britishtriathlon.org 01509 226153 Club details Club Name * Club Type * (Not sure click here) Select Community Triathlon Club Informal Internet Sponsored/Trade Does the club have an open and non-discriminatory Club Constitution ?* (Click here to download the BTF 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? * Can your club cater for athletes with the following conditions? Visual impairments * Yes No Hearing impairments * Yes No Mobility difficulties or limb impairments * Yes No Developmental / learning difficulties * Yes No Mental health conditions * Yes No Conditions with fluctuating or recurring effects (e.g. epilepsy, MS) * Yes No Club Address details Postcode * 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 Secretaries Name * Secretaries Email * Secretaries 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 Welfare Officer Details Welfare Officer Name * Welfare Officer Email * Welfare Officer Membership No (If member of BTF) 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? * Credit/Debit Card Details Card Type * Select Delta Maestro Mastercard Solo Visa Card Number * Expiry Date * -month- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec -Year- 2018 2019 2020 2021 2022 2023 2024 Card CVC * Third Party Cookies * Direct Debit Details I wish to set up my club affiliation payment annually by Direct Debit. This will be for future payments. Bank Name * Account Holder Name * Sort code * Account Number * User Agreement User Agreement I agree on behalf of the club and its officials to abide by British Triathlon’s rules and regulations including but not limited to the Safeguarding Policy, Equality & Diversity Policy and British Triathlon's Anti-Doping Policy. Furthermore, I confirm that the club will not act in any manner which (in the reasonable opinion of British Triathlon) brings British Triathlon or the sport of triathlon into disrepute. I understand that (unless the club has provided a written objection to British Triathlon giving reasons why such details may not be displayed) the club's details including the club address, email address and telephone number will be publicly available through the British Triathlon website. I understand that British Triathlon may use the contact details listed within the club contact detail section so that British Triathlon can provide your club with information relating to our club services. * Selected Club Affiliation Payment Total Price: £105.00 Processing Payment... This can sometimes take up to 45 seconds, so please be patient. If you feel something has gone wrong, please contact membership@britishtriathlon.org
