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Date Registered
Member Information
This is the main member information.
For Family memberships, you will be prompted to add additional family members after submitting the main member information.
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*
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*
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How did you hear about the club?
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Emergency Contact Information
Please provide your "in case of emergency" or ICE should we ever need to use it.
ICE Contact Name - Primary
*
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ICE Relationship - Primary
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ICE Contact Name - Secondary
If Primary Contact cannot be reached
ICE Number - Secondary
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STL Tri Club
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