CBC Racing Cycling Team - 2020
Welcome to the CBC Racing registration form for the 2020 cycling year. We are looking forward to another great year of cycling and we're excited to have you be a part of it. Please note that as of 2020 we are no longer accepting Junior riders onto the team as members or fans. If you are under 18 and seeking to race with a team, please contact team president, Henry Gertje (alpineridege@msn.com) for assistance in finding a team.

If you encounter any problems with this form, please email Andy Rosser directly for assistance (andymanr@gmail.com)
First Name *
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Last Name *
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Street Address 1 *
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Street Address 2
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City *
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State *
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Zip *
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Contact Phone # *
XXX-XXX-XXXX
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Email *
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ReEnter Email *
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Birthdate *
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DD
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Gender *
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Emergency Contact Name *
(First Last)
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Emergency Contact Phone # *
XXX-XXX-XXXX
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Are you a New or Returning member? *
USAC License #
If you don't have a USAC License you may get one later at www.usacycling.org
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