Columbia Multisport Club
2007 Membership Application
Three-time USA Triathlon National Club Champions!

Online registration is available at
www.columbiamultisport.com

New Member ________
Renewing Member ________ (please list your name with any changes)

Name: _____________________________________DOB:___________Age____ M / F

Address:_________________________________________City: ___________St:____

Zip:____________Home #: ____________________Wk #: ______________________

Cell#:__________________________________ USAT #:________________________

Email(s):______________________________________________________________

Annuual Membership Options: INDIVIDUAL & FAMILY $35
(Please review the family membership guidelines posted on columbiamultisport.com.)
Please circle the category that best fits you? Beginner-Intermediate-Advanced-Elite/Pro
Your Primary sport?  Triathlon-Duathlon-Biking-Running-Swimming-Other
Your 2007 goals?_________________________________________________________________

Family Members to Include with Family Membership:_______________________________

________________________________________________________________

I understand that the Columbia Multisport Club (CMC) as an organization and/or club members shall not be held responsible for injury incurred at club sponsored training or club participation at race events; that they are inherent dangers in multisport training/events which include, but are not limited to, falling/contact with others, conditions of road/trail surfaces, head and/or cold weather injuries, water hazards posed by boats and /other swimmers, the risks of cycling on roads with automobile traffic. I acknowledge such risks andassume responsibility for participating in Columbia Multisport Club events and social activities. I also agree to follow the CMC Code of Conduct as outlined in the Club's Constitution & Bylaws

Signature __________________________________________________________Date:__________________
Sign me up for the Trigeeks e-mail list ?  Y or N
Club communications, functions and workouts are posted to this list.
Return Completed Forms with Payment to:
Columbia Multisport Club
515 Dustin Drive
Columbia, MO 65203

Forms with payment can also be dropped off at The Starting Block at 2902 Forum Blvd
See the CMC website for details on discounts and member benefits. www.columbiamultisport.com. Contact the Membership Committee - membership@columbiamultisport.com