2017 Boulder High MTB Team Registration Form
Last name *
Your answer
First name *
Your answer
MAILING ADDRESS (STREET OR P.O. BOX) *
Your answer
CITY OR TOWN *
Your answer
ZIP CODE *
Your answer
EMAIL *
Account you check most frequently
Your answer
BHS MTB Team Requirements
The Boulder High School mountain bike team allows any Boulder High School student who is willing to make the time and effort to learn the sport of mountain biking and participate in races join the team, with the following requirements:


• Attend, at a minimum, 1 practice per week and commit to 3 of the 4 Conference races.

• Participate in the BHS MTB Hill Climb (run as a pre-season and postseason event). This is an activity used to determine your physical fitness. It is NOT used to determine if you can ride with the team.

• Provide documentation of 4 hours of volunteer work related to the biking community or trail advocacy. We will be organizing some BHS MTB Trail days. Boulder Ironman will also count towards these hours.

• Be self-sufficient with your equipment and on the trails. Mountain biking can be an unpredictable sport, and riders are exposed to situations and elements that are difficult to control. The team has limited financial and coaching resources and may not have the ability to properly and safely monitor riders that require one-on-one supervision.

• Register in the Pit Zone and on TeamSnap. Provide AVAILABILITY for team events. Read team communications, and provide punctual feedback when appropriate.

• Agree to abide by all Boulder High School, BHS MTB Team, Colorado League, and Boulder County and City Open Space Rules and Regulations. I agree to ride and otherwise participate in a manner that will not endanger myself or others.

*
Required
Personal Information
Are you ... *
DATE OF BIRTH (MM/DD/YYYY) *
Your answer
GENDER *
Enter the gender you identify with
YOUR(rider's) MAIN PHONE 000-000-0000 *
-The BEST number to reach you at most of the time
Your answer
MAIN PHONE IS A *
YOUR ALTERNATE PHONE: 000-000-0000
-Best ALTERNATE number for you
Your answer
ALTERNATE PHONE IS
Parent and Emergency Contact Information
We need at least TWO EMERGENCY CONTACTS - This is VERY IMPORTANT!
MOTHER'S NAME (First, Last)
Your answer
MOTHER'S MAIN PHONE 000-000-0000 - The VERY BEST number to reach.
Your answer
MOTHER'S SECONDARY PHONE 000-000-0000 - The NEXT BEST number to reach.
Your answer
MOTHER'S EMAIL The address checked the most.
Your answer
FATHER'S NAME (First, Last)
Your answer
FATHER'S MAIN PHONE 000-000-0000 - The VERY BEST number to reach.
Your answer
FATHER'S SECONDARY PHONE 000-000-0000 - The NEXT BEST number to reach.
Your answer
FATHER'S EMAIL The address checked the most.
Your answer
ALTERNATE EMERGENCY CONTACT'S NAME (First, Last)
Your answer
ALTERNATE EMERGENCY CONTACT'S MAIN PHONE 000-000-0000 - The VERY BEST number to reach.
Your answer
ALTERNATE EMERGENCY CONTACT'S SECONDARY PHONE 000-000-0000 - The NEXT BEST number to reach.
Your answer
ALTERNATE EMERGENCY CONTACT IS YOUR:
Medical Information
DOCTOR'S NAME (First, Last) *
Your answer
DOCTOR'S MAIN PHONE 000-000-0000 - The VERY BEST number to reach. *
Your answer
MEDICAL INSURER COMPANY NAME *
Your answer
MEDICAL INSURER ACCOUNT NUMBER *
Your answer
DO YOU HAVE ANY ALLERGIES? *
If you answered yes, please list:
Your answer
Do you have Asthma? *
If you answered yes, do you use an inhaler
Have you ever had a suspected or a diagnosed CONCUSSION? *
If you answered yes, how many?
Please include suspected and/or diagnosed concussions:
Your answer
Team & School Information:
Your grade *
Colorado League Racing Division *
See NICA Rulebook or check with Boyer if you have a question- default division for juniors and seniors is Junior Varsity unless you qualify up to Varsity
Clothing Information
Jersey Size *
Bib/Short Size *
Sock Size *
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