2018 LYC Registration Form
Laramie Youth Cycling Program
Event Timing: Thursday's, May 17, 24, 31 June 7, 14
Event Address: Kiowa Park, Laramie, WY
Contact us at (307)460-1699 or cyclingcindy@gmail.com
Parent Name *
Your answer
Phone Number *
Your answer
Email *
Your answer
Student Name (1) *
Your answer
Year in school (2017-2018) *
Your answer
Student Name (2)
Your answer
Year in School (2)
Your answer
Student Name (3)
Your answer
Year in School (3)
Your answer
Dietary restrictions *
Are there any medical concerns that we should be aware of? If no, please type "none". *
Your answer
Does your student need equipment to be provided in order to participate?
I understand that my online payment through PayPal guarantees my spot *
Required
Is there anything else you would like us to know?
Your answer
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