RIDER INFO
First:
Last:
Age
Email Address:
Phone:
Street Address:
City:
Zip Code:
Racer:	Yes   No
Bike Size:	50 65-85 125 250 450
T-shirt Size:	Youth-Small Youth-Medium Youth-Large Small Medium Large X-Large
Class:	TBD
PARENTS INFORMATION (if rider is under 18 years of age)
Parent Name:
Daytime Phone #:
Email:
RIDER GOAL INFO
Highest Priority needs:
Biggest Barriers:
Does the rider practice?  How Much? What are the practiced designed to do?
If the Rider Races, where they typically finish:
Up front mid pack toward the back
Express how much desire your rider has:
Unstoppable Good as long as they have someone to ride with Non at all at this time
Where would you rate your child in rising ability:
Beginner Intermediate Expert