Tough Cookie Triathlon Training Registration Form

Tough Cookie Triathlon Training
Registration Form

Personal Information:

Name:
Home Phone:
Work Phone:
Cell Phone:
E-mail:
Address:
Date of Birth:

Emergency Contact Information:

Name:
Phone:
Relationship:

Please choose training session:

Wednesday 9:30-11am/Saturday 8-10:30am

Wednesday 6-7:30pm/Saturday 8-10:30am

Registration Fees

$250 ($225 Returning Tough Cookies)

Waiver:

I hereby release liability and hold harmless the coaches, and any and all groups, people, or facilities connected with TCDC Fitness, Inc./Tough Cookie Training from any loss, damage, or claims I may have arising out of my participation in program activities, including personal injury or damage suffered by me or others, whether same be caused by falls, contact with other participants, conditions of the course, or otherwise. I further certify that I am physically fit to participate in program activities. I give my permission to TCDC Fitness, Inc to use any photographs, videotapes, or other recordings of me that are made during program events.

Signature of Participant:

Please fill out this form and mail together with your check payable to:

TCDC Fitness, Inc.
7301 Ranch Road 620 N. Suite 155, #289
Austin, TX 78726
512-431-6509