2019 LYC Registration Form
Laramie Youth Cycling Program
Event Timing: Thursday's, May 16, 23, 30 & June 6th, 2019. 5 pm - 7 pm.
Event Address: Kiowa Park, Laramie, WY
Contact us at (307)460-1699 or cyclingcindy@gmail.com
Parent Name *
Phone Number *
Email *
Student Name (1) *
Year in school (2018-2019) *
Student Name (2)
Year in School (2)
Student Name (3)
Year in School (3)
Dietary restrictions *
Are there any medical concerns that we should be aware of? If no, please type "none". *
Does your student need equipment to be provided in order to participate?
Clear selection
I understand that my online payment through PayPal guarantees my spot *
Is there anything else you would like us to know?
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