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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
Local Bike Shop Rides
d
Group Ride Sunday 8am
Ladies Group Ride 7:30am Saturdays Group Ride 7:00 am Tuesdays
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RHC back to support us again this 2012 season thanks to Daisy Reyes. RenalisHypertension Center http://renalhypertensioncenter.com/ You canNephron now push yourself to maximum heart rate knowing that RHC has 14134 Lane you back FL and43667 the rest of you. Hudson, 727-497-0028
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STUMBLE COSTUME BOWLING PARTY INVITATION Are you ready for a combination of Marti Gras and Fantasy Fest together in Tampa on one Night? Yes, The Drunk and Stumble is returning on August 24th. The night when the krewes of Florida join together as one family. We would love for your wonderful group to join us in this bi-annual event. This year over 40 of the craziest Bay area krewes will be in the house to unite for a night of solidarity, fun and of course prizes. Two truckloads of prizes and tons of cash will be given away this evening. Click on this link for Photos from 2012: https://www.facebook.com/media/set/? set=a.3033574517846.156593.1217402393&type=3#!/media/set/? set=a.3033574517846.156593.1217402393&type=3 AUGUST 24th-6 pm until Closing (5:30 pm open for lane decoration) Pinchasers Veterans-Hillsborough Ave. $38 Participants $15 Guests (Limited to 85 total, sorry Fire Marshall) Here is some information to pass along to your group- Since this event always sells out quickly, we ask If interested please respond quickly by e-mail or phone for a courtesy hold, Payments are then due by July 15th. 1) ### NEW THIS YEAR-Everyone must be in a costume (There are 5 themes to pick from-Choose your costume as a theme or as a individual) SAINTS AND SINNERS 2) SUPER HEROES 3) SPACE 4)SPORTS 5)SEXY 2) ##NEW THIS YEAR-Along with the Champion Team-There will be a Mystery Score Winner and the closest Team to that score will win as well. Any ability can win, it levels the playing field. 3) Tons of Ways to win-Raffles, Golden Tix,50-50, Best Decorated lanes (2), Best Team Themed Costumes (2), Sexiest, Most Unique, Most Spirited Team, etc………. 4) ## New This Year-If a Secret Judge sees you dancing, especially line dancing or Congo line dancing-You will be given a “Golden” Ticket for Cash Drawings during the night.. 5) We will have a block of suites at a reduced price, and a shuttle to and from the event for safety. (Please NO DRINKING and DRIVING! ) 6) ## NEW THIS YEAR-You can sign up as a 6 person Team or as a single. 6-Persons Team must send payment together this year. Singles send in payment and we will hook ya up!! 7) Go as Risky as you dare, but No Nudity Please. (Wait until later) 8) List your Names-Krewe-and Contact Phone number when sending in payment. 9) Adults Only-21 and over please Contact Mark at MDavis@TeamPsychTri.com
Se
Scenic 17 This is a Team Psych Road event. There is a stay on campus the night before. We will have dinner together at the only Rockin Dining joint in the town. Great food & drinks. The next day we will procedd to do what is the toughest, hilliest triathlon in Florida. Bike in the hills of Frostproof Florida. Run in the hills off campus. Nicole, Kari, Keith, Tom, Keith, Pete, Richard Lush, Richard Lush Jr, who else?
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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\ 813-758-8224
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
Congratulations to NICOLE DAVIS Brooke King IRONMAN Team Psych Triathlon on her first half iron at HITS Ocala. Setting the Co-Founder USAT Level I Coach bike course record for her age group.
CONTACT INFORMATION Nicole@TeamPsychTri.com
2013 Team Psych Must Do Races 7/28 Scenic 17 Triathlon – Webber Int’l University, Babson Park, FL 8/25/13
Ironman Louisville – Louisville, KY
10/20/13
Longboat Key International Tri/Du – Longboat Key, FL
TBA
Longleaf Triathlon – New Port Richey, FL
Nov
Tri Rock Clearwater
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.
July 2013 Sun
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athlete, LegoMaster, Engineer, or a Navy SEAL. Family Information: Oldest Brother of four (Dana, Victor, Christian, Melana, Oldest Cousin of 13. Mother and Dad Divorced. Key Race or goal for the season: Several Sprint Triathlons, 1 Olympic, 1 ½ IronMan, Endurance Obstacle/ Mud Races for Fun. Athletic history before triathlon: Tampa/St Pete YTS Age Group Champion, IronKids USA Texas final-
VICTOR KARSTENDIEK What drew you to Team Psych? Nicole, my former Spinning coach and Mark, my former Running Coach. If I wasn’t a (17) HS Graduate/ Colllege Student (Weber pending scholarship acceptance/ transfer of grades. I would be a Professional Tri-
ist/Regional Qualifier. Duathlete, Chilly Willy 19 Under Age Group SE USA Champion 2013. Long Leaf, Ft Desoto Top 5, 2010-2012. Youngest Athlete St Anthony’s Olympic distance 2011. USAT Regional Talent Triathlon Camp Claremont 2011. CAT Swim Team, TBT Varsity Cross Country Captain, Swim Team. Triathlete for how many seasons: Since 2008, YTS Age 13- Concept 9.9 WSD. 17, USAT Regional Skills Camp 2011. Philosophies: If it’s Cold weather, temperate and there are hills, I can Currently my bike is a: Trek 7. usually place top 3. Eagle Scout. Live the Scout Oath and Law. My dream bike is a Trek Speed Biggest obstacle I overcame in becoming a triathlete: Swim Times. Extremely competitive local field, and there’s a local Elite Tri clique, sometimes write me off because I haven’t been competing since I was 6! Started late at 14, despite having the same passion as these other Elite Youth Triathletes. Also I don’t have the proximity to train with these Youth Elite Teams. Passions outside Triathlon: “Triathlon is my passion” Mud/ Obstacle Races Second. Deep Sea
Fishing. Anything Challenging. What is your greatest triathlon moment or story? Winning YTS Age Group 2010/11, Winning IronKids Texas 2011. What inspires me is: Role Models like Celia Dubey (1st coach), Shane Deeley, Nicole, Mark, and John Jarrard Fareese. Youth Tri Coach Sheet, Seminole LandSharks. My competitive peers, Rich and Sean Lush. My favorite part about triathlon is‌ Multi Sport and the Bike, I love Hills on the cycle leg. Guilty Pleasures: Xbox.
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!
Oklahoma Tornado Relief. Team Psych sent a hundred dollars to the Moore City families by way of the Central Oklahoma United Way Fund. Congratulations team members on your contributions toward the endeavor to help others. Special thanks to Keifer Jewelers for their contribution which helped entice members to take a chance.
So I look in garage and what do I see but another vehicle with a Team Psych decal. At least one Lopez vehicle has a decal.
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 ?
Two Female Singlets available One size Medium ( fits most gals that would usually get a small ) One size Large ( fits most gals that would usually get a medium) Order now, first come , first serve. Ask Brooke or Nicole- they will tell you these tops are SWEET. $ 41 pick up or delivered to order just reply to this email
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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