Signup Form - High School and Middle School Mountain Bike Team fall of 2021
Please fill out the form below with your rider information. After you complete this form you will be given a link to pay the team dues via Paypal (you can use a credit card also) If you don't wish to pay online please contact us at
stcroixcycling@gmail.com
* Required
What school district do you attend?
Hudson
River Falls
Prescott
Other:
Clear selection
Rider First Name
*
Your answer
Rider Last Name
*
Your answer
Rider Email Address
*
Your answer
Rider Phone Number - Will get txts from time to time about Practice & Race information
Your answer
Parent 1 - Name (First Last)
*
Your answer
Parent 1 - Email Address
*
Your answer
Parent 1 Phone Number - Will get txts from time to time about Practice & Race information
*
Your answer
Parent 2 - Name (First Last)
Your answer
Parent 2 - Email Address
Your answer
Parent 2 Phone Number - Will get txts from time to time about Practice & Race information
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Rider Gender
*
Male
Female
Rider Birth Date
*
MM
/
DD
/
YYYY
Rider Grade Fall 2021 - (NEXT YEAR)
*
Choose
12th
11th
10th
9th
8th
7th
6th
Health Information - please fill in any allergies and health concerns. Example allergy to peanuts, fainting spells, etc.
*
Your answer
Rider Biking Experience Level
*
Choose
No Experience
Beginner
Intermediate
Advanced
Goals for 2021 Season
*
Your answer
Confidential Information - please fill in any challenges or diagnosis which effects the way your child learns, plays, or interacts with others
Your answer
Parent Volunteers - Check all possible
Coach - Rider Leader - Parent Ride Along (all skill levels wanted)
Racer Coordinator - helps with registration
Couture Coordinator - organizes jersey and spirit wear order
Equipment Manager - maintain practice/race equipment
Hospitality- race day food, end of year party
Bike Mechanic
Trail Boss - organize trail maintenance days and mowing of the field
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