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TEAM PSYCH TRIATHLON CLUB MEMBERSHIP APPLICATION Name (First, MI, Last) _____________________________________________________DOB_______________Age ______________ Family members: _____________________________________________________ _______________ ______________ _____________________________________________________ _______________ ______________ Address ___________________________________________City______________________State_______Zip_____________________ Phone (home) _________________________
Cell________________________________
Work____________________________
Email Address________________________________________________ Who referred you to Team Psych?______________________ Include me in the membership directory _____email ____phone
USAT #_________________________ T Shirt size_______
Rate your strengths ( 1 = poor, 2 = fair, 3 = good ) Swim_______ Bike______ Run______ Training area you would like mentoring: _____________________________________________________________________________ Training area you would mentor teammates:__________________________________________________________________________ Volunteer Interests: _____event planning _____Membership _____Newsletter _____socials planning _____Photography _____Publicity _____ Race for the Booty Hop
_____ Charity Fund Raising _____Organizing Relay Teams _____ Corporate Sponsorship _____ Youth Triathletes _____ Race for the Booty Tri
Membership Description Active Duty Military
Amount $0
——-
New Single Member Diamond (One Race Day Tri Tank, Tri Short & T Shirt)
$160
$
New Single Member Gold
(One Race Day Tri Tank & T Shirt)
$100
$
New Single Member
( Decals, Tattoos, Discounts & One T-Shirt )
$50
$
New Family Membership
( Decals, Tattoos, Discounts & Two T-Shirts )
$85
$
Renewal Member Diamond
(One Race Day Tri Top & Tri Short , Socks, )
$125
$
Renewal Member Gold
(One Race Day Tri Top, Socks, )
$75
$
Total
Renewal Single Member
( Socks, Decals, Tattoos, Discounts )
$25
$
Renewal Family Membership
( Socks, Decals, Tattoos, Discounts )
$40
$
$15 ea
$
Additional T-Shirts
Sizes:
Payable to: Team Psych Check, Money Order, or Visa____ MC____
Total
$
#_________________—______________—________________—__________________ Expiration:_____/ ______ Waiver: This section must be signed before the application will be accepted. (If under 18 a parent or guardian must sign). I do hereby waive and disclaim, for myself, my heirs, and assigns, any and all claims for personal injury or property damage which may occur in connection with any Team Psych Triathlon Club activity. I will be completely responsible for myself, and guests and any minors under 18 whom I may bring or allow to participate in a club activity. I allow all photographic images for use by Team Psych. This statement also pertains to travel to and from club functions. Date:________________________ Signed:__________________________________________________ Date: _______________________ Parent / Legal Guardian_____________________________________ Mail to: 17001 Amber Lake Ct Lutz, FL 33549 fax 813-968-5051 - phone 813-210-6484 - MDavis@TeamPsychTri.com
Or register online at TeamPsychTri.com
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Ladies Group Ride 7:30am Saturdays Group Ride 7:00 am Tuesdays
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1 Year FREE Membership Active Military & Families Afgan-Iraq Veteran 2012 or later MILITARY MEMBERSHIP That's right - it's FREE ! The Tampa Bay area Active Military and Family Memberships Package includes a Team Psych T-Shirt, Car Window Decal, Two Bike Flag-shaped Decals, (one for each side), Ten Body Tattoos, and membership card. One year active membership status. To be eligible you must be 1. Active Duty stationed in the Tampa Bay area 2. Be a Afgan-Iraq Veteran discharged from 2012 or later. 3. Attend a function; Team Psych Social, Open Water Swim or Team activity and fill out an application. This "Give Back" gift is made possible from our current paid memberships.
OPEN WATER SWIM SHALLOW SHORELINE COURSE
-For all swims, meet at parking lot at Frenchy’s Rockaway (7 Rockaway St, Clearwater). -USAT Certified Triathlon Coach Nicole Davis will be available to assist and coach swimmers of all levels. -All are welcome; Team Psych members free & non-team members requested $10 donation to Success 4 Kids & Families (www.s4kf.org) -Drills and workouts provided upon request and sometimes -There is no set distance to swim, our buoys are set up to allow you to do as much or little mileage as you want; everyone has different goals. RSVP with Nicole at Nicole@TeamPsychTri.com\ 813-785-8224
Saturday, March 9 @ 8 am Sunday, April 7 @ 8 am Saturday, April 20 @ 8 am Saturday, May 18 @ 8 am Saturday, June 1 @ 8 am
USAT Certified Triathlon Coach Nicole Davis
Sunday, June 23 @ 8 am Saturday, July 20 @ 8 am Sunday, August 4 @ 8 am Saturday, September 21 @ 8 am Sunday, October 13 @ 8 am Saturday, November 9 @ 8 am
2013 Team Psych Must Do Races 8/25/13
Ironman Louisville – Louisville, KY– JP Good Luck
10/20/13
Longboat Key International Tri/Du – Longboat Key, FL
TBA
Longleaf Triathlon – New Port Richey, FL
Nov
Tri Rock Clearwater
Scenic 17 Triathlon
Keith Bauer= 1:17:46 - 2nd place M30-34. PR by 11 seconds. Richard Lush Jr. 1st age 1:16 Victor Karstendiek 4th place age 1:23 Keith Bauer 2nd Place age 1:17 Chris Reynolds 1:31 John Green 1:28 Chris Altimari 1st place age 1:17 Keith Colini 1:37 Tom Monaweck 2nd place age 1:42 Harry Williams 1st place age 1:30 Nicole Davis 5th age 1:40 Kari Eichen 4th age 1:49
NICOLE DAVIS IRONMAN Team Psych Triathlon Club Co-Founder USAT Level I Coach
CONTACT INFORMATION Nicole@TeamPsychTri.com
Team Psych TRI TOP # 1 Purchase for Race Day Triathlon Competition, Cycling or Spinning Hyperstretch Lycra fabric • Fully sublimated • Form fitting • Two side pockets • Hidden zipper - Tri Shorts in new short leg length To Order now at cost go to http://www.teampsychtri.com/merchandise
August 2013 Sun
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Race #3 August 31 The last and final event from DRC at Crystal River. Join your team mates and race this twilight event.
The final event of TriRock season, Clearwater is a must visit destination where you can finish your triathlon season on the Gulf area’s white sand beaches. Featuring a unique venue, all of the action takes place at Pier 60 with an outdoor Health & Fitness Expo and family friendly event activities. The course boasts a single loop swim in the Gulf of Mexico, followed by a flat, single loop bike course that takes athletes through the sites of downtown Clearwater and ends with a scenic run finishing back at Pier 60. Our Featured Race within a Race is the Triathlon Club Challenge where the top 10 clubs based on number of registered participants receive a pre/post race area. SPRINT Mark Davis
OLYMPIC Paul Hough
October 13, 2013 International, Sprint & Sprint Duathlon Sprint Distance Swim 400M Bike 15K Run 5K International Distance Swim 1.5K Bike 37K Run 10K Duathlon Distance Run 5K Bike 15K Run 5k Race Weekend Schedule Sprint & International Distances Sunday, October 13 at 8am
Last year Team Psych finished 3rd Place. Another team in Tampa had incorrectly been placed in our division when they claimed to be in the under two hundred member category. The same week they listed themselves with USAT magazine with over four hundred. This competition is a team competition. So sign up and help us kick butt!
LONGBOAT KEY TRIATHLON Located on the majestic and world famous Longboat Key Club and Resort. Our races series consists of one Sprint Triathlon & Duathlon Distance Race (May 5th, 2013) and one International Triathlon & Duathlon Distance Race (Oct 20th, 2013). Competitors must compete in both races to earn points for the series awards. Those competitors that earn the top points are eligible to win special prizes from our sponsors. Most important, we promote an event that is extremely high end and treat our competitors with the respect and safety that they deserve. Finally, our after party event has been called the finest in the world! Sunday, October 20, 2013 @ 7:30 am - Register here Triathlon Swim 1/2 mile, Bike 20 miles, Run 5 miles $80 before Dec 2 / $90 Before May 2 / $105 Before Sept 2 / $120 Before Oct 17 Duathlon Run 2 miles, Bike 20 miles, Run 5 miles $75 before Dec 2 / $85 before May 2 / $100 before Sept 2 / $110 before Oct 17 Longboat Key Club Island Side Golf Course 361 Longboat Club Road Longboat Key FL
Team Psych Kicked Butt last year and vows to return again in October with a great pre race dinner Saturday night before the race at the Columbia Restaurant.
Special Team Psych Discount from Race Director, Jamie Klingman Mark has asked me to post on here to let you know the Team Psych discount for Longboat Key Triathlon and Duathlon on 10/20. Visit www.lbktriseries.com, and use TeamPsych2013 to get $10 off! WHO’S IN ? Mark Davis, Nicole Davis
September 2013
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Team Psych Ride Sunday 7:30 August 18 BallPark to Trilby Ride 28 Mile Open ride for members, friends, interested riders Parking Lot at Baseball Park See Map my run for Directions from where you are: http://www.mapmyrun.com/routes/view/261391873
Welcome New Members— 236 Jamie Klingman. Jamie just joined and glad to have her. From prior experience at the Race for the Booty Hop, to her USAT officiating, to the race director for Longboat Key Triathlon. Welcome aboard!
I participated in the Patriot 911 Tri in Ft. Pierce. It was a great local race. It was like a 3/8 Iron Man distance (0.911 s, 49.11 b, and 9.11 r). 4hr 57 min for me. Wicked fast field of athletes. Hugo
"Capt Mark was so nice to my granddaughter, Gianna at Too Good For Drugs Jr. Gasparilla Distance Classic this year! Now she says if I join a Triathlon group, I can only join the "Pirates Club!" What am I going to do? Arrrgh!" Monty Seidler Facegook post So were so many other people from the team that showed up at the Too Good for Drugs Gasparilla Jr. Kids race. So we will send Gianna a Team Psych Decal for her bike
Our Charities
Team Psych Triathlon Times Editor: Mark Davis Charity Committee Chairperson : Sharon Evering Sponsorship contact : Nicole Davis ndavis@TeamPsychTri.com Membership Chairman: bevdavis@teampsychtri.com Webmaster : webmaster@teampsychtri.com, jrcasuga@gmail.com Relay Team Organizer: John Patrick Nutritional Questions to Sharon Evering: sdevering@therunningrd.com Triathlete of the Month Nominations to MDavis@TeamPsychTri.com Advertise here : Contact Mark MDavis@TeamPsychTri.com Questions of Triathlon and Tri Life Style to El Fuego and La Fuega are being accepted by mailing to MDavis@TeamPsychTri.com
Advertising Rates Payment is due on the 15th Pre payment is for half a year. Advertising requests should be directed to Mark Davis . MDavis@TeamPsychTri.com 813-210-6484 All payments should be made to Team Psych Triathlon Club Space
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