RogueTri Team Application
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender
*
Male
Female
Back
Next
Performance History and Goals
List your top 3 triathlon performances from the last 24 months.
*
Are you currently a member of Team USA?
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Yes
No
What is your USAT Number?
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What is your triathlon story, and why do you want to join our age group teams?
*
How did you hear about RogueTri?
*
Do you know any current team members? If so, specify.
*
What are your long term goals as a triathlete?
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Submit
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