Athlete’s Name:

Cell:                                                         

Email:

Street Address:

City, State, Zip:

Birthdate(MM/DD/YY):

Race Age 2026 (what age you will be on Dec. 31, 2026):

USAT Member number (if you need to join USAT or renew your membership visit www.usatriathlon.org, all team members must be current USAT members):                                          

USAT Expiration date:

Parent 1 name:

Parent 1 email & phone:

Parent 2 name:

Parent 2 email & phone:

Current School name and graduation year from High School:

School sport teams and the years of participation (cross country, swim, track, etc.):

Other club teams outside of school (club swim team, club cross country, cycling, etc.):

Do you have a triathlon coach?    If yes, Coach’s name, email and phone:

Why do you want to be a member of the Multisport Explosion High Performance Team or Emerging Elite team?

What are your goals (short and long term) for development in the sport of triathlon?

How did you learn about the Multisport Explosion Emerging Elite and/or High Performance Team?

When did you start racing triathlons (age), what was your first triathlon?

Please list triathlon race results for last 1-3 years including name of event, location, date, distances & split times for each segment of the race, overall time, and placement in age division: (You may attach as separate page if preferred)

Have you ever raced in a cycling criterium race?  If yes, list race(s) and result.

Have you raced in any of the following type of draft legal triathlons:  Elite Cup, F1 or Youth draft legal race, Elite Developmental Race (EDR)?  If yes, list the name and date of the race, along with placement.

Please list your best time in the past 12 months for 1 mile, 2 mile and/or 3k, 4k or 5k run, the date and name of the race:

Please list your best time in the past 12 months for freestyle 100, 200, 500 and/or 800 swim time & date (please denote if yards or meters):

Please describe your level of cycling experience and what type of bike you currently ride?

Do you ride on clipless bike pedals? 

Do you know how to perform a flying mount and dismount?  A flying mount/dismount are performed barefoot on top of your bike shoes which are attached to your pedals.

Please list a reference such as a coach, teacher or any other adult who knows you well, including their phone number and email for contacting them:

Please EMAIL the completed form to Multisport Explosion Head Coach Lisa Marshall at [email protected].