Kids and Youth Registration Form

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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*

Parent/Guardian Name*

Parent/Guardian Email*

Name of Emergency Contact*

Emergency Contact Phone #*

Birthday of Participant*

Year

Month

Day

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

Fall Intermediate/Advanced Saturday 9:30am

Fall Intermediate/Advanced Wednesday 4pm

Fall Advanced Beginner Saturday 9:30am

Fall Advanced Beginner Fridays 4pm

Fall Advanced Beginner Wednesday 4pm

Fall Beginner Monday 4pm

Fall Beginner GIRLS ONLY Monday 4pm

Fall Newbies Saturday 9:30am

Fall Newbies Monday 4pm

Cyclocross

Gravel Program

Race Team

Private/Custom

**For new registrants**: Bike make, model, year, and wheel size

What are your goals for this program?

Please list any allergies

Is there anything else we should know about your child?

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

Yes

No

How did you hear about us?

Yes, subscribe me to your newsletter.

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