The Cycling Co. Rider Information Form
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Email *
Participant First & Last Name *
Participant's age? *
Parent/Guardian Name (applicable for participants under the age of 18)
Phone Number *
Emergency Contact (name & phone number) *
Participant's Riding Level (MTB/Road) *
Tell us a bit about riding experience? Include number of years mountain biking and/or on the road. *
What are your overall cycling goals? *
What are your biggest strengths/weaknesses as a cyclist? *
What is something you would like to become better at on the bike? *
Have you received prior coaching/instruction? When? Where? Which coach/company? Did it help you improve? *
Are you currently suffering from or recovering from any recent injuries? Explain. *
Do you have any food or medical allergies? Explain.
Is there anything else we should know?
How did you hear about us? *
Payment Method
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