Alpine Cycling Club Junior MTB Registration
Register your child with the Alpine Cycling Club Junior MTB program.
Email address *
Parent Checklist (Details on ACC website, Junior MTB page)
1) Fill out this form to register your child for the Tuesday night MTB bike club.
2) Register your child with MTBA (Mountain Bike Australia) so that they have a MTBA Licence.
3) Fill out the details on the back of their rider plate and attached to their handlebars.
4) All help is welcome. Watch the 'Being a Ride Leader' Video on Alpine Cycling Club website, Junior MTB page.
5) Drop off all riders to club hall by 4.15pm. Riding starts at 4.30pm
Rider: First Name *
Your answer
Rider: Last Name *
Your answer
Rider: Date of Birth *
MM
/
DD
/
YYYY
Rider Age
Your answer
Male/Female *
MTBA Licence Number
Your answer
MTBA Licence - Expiry Date
MM
/
DD
/
YYYY
Does the child have any other medical conditions which may affect their ability to participate *
If Yes, please provide details and discuss participation with the organiser.
Your answer
Does the child have any allergies? *
If Yes, please provide details and ensure that your child has medication with them at all times.
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Hand Cut Productions. Report Abuse - Terms of Service - Additional Terms