Spring 2024 Youth Series Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Wednesdays June 5, 12, 19, 26. 6-7:30 pm @ 3 Towers.

Email *

Youth Name: *

Parent/Guardian NAME *

Parent/Guardian phone to call for emergency during session. *

Any medical conditions we need to be aware of? *

Will any parents/caregivers be staying on site? *

No thanks, I am going to leave my child in your care and pick up at 7:30

Yes, I will stay on site I will stay and volunteer, please put me to work! ( trail clean up, or program support)

I may drop off and leave occasionally.

Child has one of the following memberships with NBMBA: *

Youth membership

Family membership

My child/family is NOT a member, but we agree to sign waiver to participate upon arrival

Age of my child: *

We will have snacks available. Any allergies we need to know? *

Please describe your child's bike experience. Have they been on rugged trails? *

Additional comments that you think we should know:

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Weebly Email Service.

Does this form look suspicious? Report