Dragon Boat Racing Team

MEMBERSHIP APPLICATION FORM

(Please write in print and legibly.) Nickname Provincial Address

Surname / Given Name / Middle Name Residential Address Date of Birth (mm/dd/yy) Home Number Company Name and Occupation School Name and Course Emergency Contact Person Relationship Age Height Mobile Number Weight

Gender Office Number Email Address

Civil Status

Other Affiliations and Organizations Home & Mobile Number If yes, Please detail If yes, Please detail Blood Type Address

Do you have any current Life Saving or First Aid qualifications? Yes No Allergies or Medical Conditions and its corresponding medication the Club should be aware of for First Aid purposes? Yes No Do you have any dragon boating experience? Yes No If yes, how many months / years? For Old Triton Members: (Date / Year of Membership)

Can you swim at least 100 meters unaided and fully clothed? Yes No From which team/s?

Jersey Size: XS S M L XL Reason/s for leaving previous team?

For New Members: how did you learn about TRITON Dragon Boat Racing Team? Facebook/Twitter Flyers, Posters, or Club Website Family or Friends Others: ____________________ Do you have an account on the following social networking sites? Facebook Twitter Others: _______________________ Competitive Dedicated, disciplined and focused on competing and excelling in all aspects of the sport. Practice commitment is 34 time a week.

Paddling Preference Left Right Both To be determined Participation/Commitment Level Recreational Emphasis on learning the art of dragon boating while having fun & meeting people. Practice commitment is once per week.

Intermediate Regimented & structured practices focused on developing/improving paddling skills. Practice commitment is 23 times a week. Please attached the following to your membership form Reminders:
1 pc. 2x2 size picture 1 pc. 1x1 size picture Club Waiver Form Photocopy of Passport if any PDBF Request for ID Form PDBF Waiver Form Clearance from previous Team To be filled by a Triton Officer Only:

A P300 monthly fee is payable no later than the first day of each month. Although it is recommended that all paddlers have their own paddle, training paddles can be rented for P30/ training session. Name of Recruiting Member:

One-Time Registration Fee Paid: Yes No Amount & Date of Payment: __________
Signature of Applicant

Team Jersey Paid: Yes No Amount & Date of Payment: __________

Date of Application

Received by (Name of Officer):