MCBMX Beginner's League Rider Information

Thank you for your interest in our Beginner's League! We look forward to meeting your family. This is a 5-week course beginning Saturday, June 15. We will have a FREE open house from 6-8pm on Wednesday, June 12 where your rider can try out the track with no commitment to the 5-week course. Registration for the Open House is not needed, simply show up ready to ride. Long sleeves, long pants and athletic shoes are required. Please note: your rider must be able to pedal a bike to participate in this program.

Please note: Payment is required to hold your reservation. Payment must be received IN FULL by start of 1st session Saturday. Cash payments are accepted if arrangements are made - email scotathrt07@gmail.com to arrange. You may also use the PayPal button at the end of this form to make your payment online. If payment is not made within 3 days of online reservation, reservation will be canceled. REFUNDS will not be given. Thank you!

Last Name of Rider *

First Name of Rider *

Rider Date of Birth * +

Loaner bike needed? *

Yes

No

Rider Height (Ex: 4'2") *

Shirt Size *

Helmet size? * 🛈

Family/Emergency Contact Information

Emergency Contact Name *

Street Address *

City *

State *

Zip Code *

Emergency Contact Phone *

Parent Email Address *

Parent Occupation * 🛈

Is your family available to? *

Volunteer at the track

Sponsor

Other

How did you hear about the Beginner's League? *

Payment Amount (PayPal payments will have a payment option at the end of the form. Cash payments must be arranged via email to scotathrt07@gmail.com). *

$150.00 PayPal

$100.00 PayPal (parent discount in conjunction with rider sign-up)

$150.00 Cash

$100.00 Cash (parent discount in conjunction with rider sign-up)

Click Continue to our PayPal link to complete payment. Payment is required for registration.