EmailMe Form - First Timer/Beginner Women at the Lumberyard

Name *

First Last

Email *

Phone *

### - ### - ####

In case we need to contact you with questions or updates about the clinic.

Address *

Street Address City State / Province / Region Postal / Zip Code

Age

Emergency Contact - Name *

Emergency Contact - Number *

Clinic Selection 2017 *

First Timer/Beginner Women Lumberyard Clinic w/ Coach Elaine Bothe - Oct 29 - $75

First Timer/Beginner Women Lumberyard Clinic w/ Coach Elaine Bothe - Nov 5 - $75

First Timer/Beginner Women Lumberyard Clinic w/ Coach Elaine Bothe - Nov 12 - $75

First Timer/Beginner Women Lumberyard Clinic w/ Coach Elaine Bothe - Nov 19 - $75

Clinics are $75 each and include park admission and bike rental. Discounted total of $275 for the complete series.

Full Series Discount

-$25

My riding experience

The riding you like to do and how often.

What I'd like to improve

In order to optimally tailor each clinic to its participants, please include specific skills the you want to learn or fears about riding that you may have. You can also leave special instructions or questions concerning your registration here.

I will rent a bicycle (included with your clinic fees)

Yes

No

Maybe

Bicycle rental is included with this clinic! Please let us know if you'll take advantage of the bike rental.

I would be interested in babysitting services during this clinic

Yes

No

Maybe

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