Members Corner

Membership Form 2020

* Indicates required field

Name *

First

Last

T.I. Licence Number *

Date Of Birth DDMMYYYY *

Please enter your date of birth in Day, Month, Year in the format DDMMYYYY

Face Book Name *

Needed to include you in member news, events and results for 2020

Please confirm to abide with the following 3 club requests *

When cycling on open roads, I understand I represent the club, and will observe the rules of the road

Tri Laois *

I will be available to marshal Tri-Laois, and if not, I will provide a marshal to take my place. (Excludes People in Sport)

Club Race Series *

I will marshal at least 3 test series races per year

How did you hear about Trilogy? *

Internet Search Previous member Facebook Other Flyer in Portlaoise Leisure Centre

From time to time Trilogy use photos of members to promote the club. Do you consent to the use of photographs of you to be used to promote Trilogy? *

YES NO

Submit

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