Signup Form - St Croix Valley D-Team 4th - 5th graders (fall 2021)
Please fill out the form below with your rider information. After you complete this form you will be given a link to pay the team dues via Paypal (you can use a credit card, you do not need a paypal account) If you don't wish to pay online please contact us at stcroixcycling@gmail.com
Rider First Name *
Rider Last Name *
Rider Email Address *
Rider Phone Number - Will get txts from time to time about Practice & Race information
Parent 1 - Name (First Last) *
Parent 1 - Email Address *
Parent 1 Phone Number - Will get txts from time to time about Practice & Race information *
Parent 2 - Name (First Last)
Parent 2 - Email Address
Parent 2 Phone Number - Will get txts from time to time about Practice & Race information *
Street Address *
City *
State *
Zip *
Rider Gender *
Rider Birth Date *
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DD
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Rider Grade Fall 2021 - (NEXT YEAR) *
Health Information - please fill in any allergies and health concerns. Example allergy to peanuts, fainting spells, etc. *
Rider Biking Experience Level *
Confidential Information. Information that would be important for the rider's direct coaches to know.
Parent Volunteers - Check all possible
Submit
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