Cycle Show Registration
The Cycle Show - learning about my body's secret language is a 5 hour workshop created for young women 10-13 years old. These workshops will be presented by our new American Cycle Show instructors gaining certification.
I'm registering for the following Cycle Show workshop: *
Attendee name *
Your answer
Attendee Date of Birth *
Name of School and Grade Level
Your answer
Parent's name *
Your answer
email address
Your answer
address *
Your answer
City, Zip *
Your answer
Phone number *
Your answer
Parent(s) will attend the Parent Presentation on: *
Names of Parents attending the Parent Presentation. (Registration for the Parents presentation is included with the $50 Cycle Show Registration Fee.)
Your answer
Please reserve a copy of the Cycle Show Book for me for an additional $18
Thank you for Registering for the "Cycle Show"
Registration Fee is $50 for each girl.
There are 12 spaces in each session. Spaces are reversed by paying the registration fee by check or

If you would like to purchase the Cycle Show Book they will be available for an additional $18 at

Each girl should bring the following on the day of the workshop:
a small blanket to sit on
a sack lunch
a pair of socks to wear

Thank you for your participation.
Any questions may be sent to Kari Beadner at

Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service