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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)*

Winter Women Beginners Mondays 4pm

Winter Women Intermediate Wednesday 5pm

Winter Women Intermediate Friday 9:30am

Dirt Dynamos

Cyclocros

Gravel Program

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

No

How did you hear about us?

Yes, subscribe me to your newsletter.

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All Rights Reserved

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