Adult Registration Form

If you have trouble with the form, please try using a Google browser.

Once you have completed the registration form, you will be automatically directed to the waiver, and you will receive a confirmation email from us. Please check your junk folder or contact us if you didn't receive it.

Participant's Name*

Email*

Phone*

Name of Emergency Contact*

Emergency Contact Phone #*

Select Your Program (And 2nd Program if Applicable)*

Fall Women Beginners Wednesdays 5pm

Fall Women Intermediate Wednesdays 5pm

Fall Women Intermediate/Advanced Fridays 9:30am

Fall Open Beginner Sundays 1pm

Dirt Groms Inclusive Hiking Program Saturdays 2pm

Dirt Dynamos

Cyclocross

Race Team

Private/Custom

For first time riders: Bike make, model, year, and wheel size

What are your goals for this program?

From time to time we take photos of our participants in action. Do you consent to your photo being used in our materials?

Yes

How did you hear about us?

I have read and agree to the Dirt Groms Terms & Conditions.

I understand that I must complete the required Dirt Groms waiver through WaiverFile before participating.

Subscribe me to your newsletter for ride updates and program schedules.

BOOK YOUR RIDE

Lessons, small groups, guided rides and race teams. Tell us your goals and we'll match you with the right coach.

CONTACT

Amanda McArthur

dirtgroms@gmail.com

250-710-7044

RIDE WITH US

Guided Rides (coming soon)

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