ShenRock Information Form Spring 2019
PLEASE Fill out a separate and distinct form for EACH rider in your family!

Completion of this form is a requirement to participate in the Spring 2019 Season and indicates to us that your youth is planning on joining us on the trails. Questions? Please contact Kyle Lawrence- or (571) 277-8121

Email address *
Parent/Guardian Name *
Your answer
Phone Number for Parent/Guardian *
Your answer
First Name of Child/Team Member *
Your answer
Last Name Child/Team Member *
Your answer
Your answer
Date of Birth for Child/Team Member *
Age as of April 1, 2019? *
Current Grade for Child/Team Member (9 year-old minimum) *
School *
REQUIRED!!! Have you Completed your Shenandoah Valley Bicycle Coalition Family Membership? You can complete it now: *
REQUIRED!!! Have you Completed the Massanutten Trail Pass process for your youth rider? To include Risk and Release Waiver? You can complete the process now:
Required!!! Have you Completed Your SHEN-ROCK Required USA Cycling Waiver? You can do it right now: *
REQUIRED!!! Have you Completed your SHEN-ROCK Required League of American Cyclists Waiver? You can do it right now:
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