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REGISTERED CLUB

To register for the 20/21 Triathlon Season complete the form below

BLACK SANDS junior MEMBERSHIP

Full Name

Date of Birth

Address

Email Address

Phone Number

Medical Conditions

What events are you participating in this season?

Emergency Contact Full Name and Contact Number

Order Black Sands Clothing

Tri Hard Socks $15

Black Sands T-Shirt $15

Black Sands Hoodie $25

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