Register and Join the Family

Thank you for your interest in being an ambassador for TRADEROOT ACTIVE™ and signing up for the #Ride / Run / Tri for Change initiative! We look forward to having you on board.

Club Registration

Please fill in the membership registration form below and your goals for the next 12 months.

First Name *

Last Name *

ID Number *

Gender *

Birthday - Date *

Birthday - Month *

Birthday - Year *

Athletics South Africa License Number:

Cycling South Africa License Number:

Triathlon South Africa License Number:

Mobile Number *

Home Number

Email Address *

Address

Postal Address

I am interested and intend to take part in the following sports: * *

Triathlon

Road Running

Road Cycling

Mountain Biking

Personal Statement:

Why do you want to #Ride / Run / Tri for Change?

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Register and Join The Family

Monday-Friday: 09am-4pm

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