CPOMG 2019 Registration
Rider Information
Rider's First Name *
Your answer
Rider's Last Name *
Your answer
Rider's Gender Identification *
Rider's Birthday *
MM
/
DD
/
YYYY
Rider's Cell Phone *
Or best contact phone number
Your answer
Rider's Street Address *
Your answer
Returning Rider *
Racing Jersey Information
Jersey's will be available at Registration Night to try-on
Jersey Style *
Only select a Jersey Style if you require a racing Jersey
Jersey Size *
Only select a Jersey Size if you require a racing Jersey
Select School and Grade at Start of 2019-20 School Year
School System (Select the High School you would attend based on address) *
Grade *
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