CPOMG 2018 Registration
Rider Information
Rider's First Name *
Your answer
Rider's Last Name *
Your answer
Rider's Gender *
Rider Birthday
MM
/
DD
/
YYYY
Rider's Cell Phone *
Or best contact phone number
Your answer
Rider's E-mail
Or best contact e-mail
Your answer
Rider's Street Address
Your answer
Jersey Style
Jersey Size *
Only select a Jersey Size if you require a racing Jersey
Returning Rider
Select School and Grade at Start of 2018-19 School Year
School *
Grade *
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