Registration

2022 Cochrane Half Tracker Registration

This membership is for 2-5 year olds, on run or pedal bikes, who are not ready (or old enough) to participate in full track riding. This membership will allow striders and young riders on small pedal bikes access to the track during our half-tracker sessions (6:45-7:00 on all race nights). Register 1-4 riders in the form below:
Half-Tracker's Name *

First Last
{ridersName35}’s Date Of Birth *

Month Day Year
{ridersName35}’s Age as on December 31 2022 *

2 3 4 5
{ridersName35}’s Gender *

Female Male
{ridersName35}’s Parent or Guardian (Primary Contact) *

First Name Last Name
{ridersName35parent}’s Email (boxes must match) *

Confirmation Email Confirm email address
{ridersName35parent}’s Contact Number *
{ridersName35}’s Other Contact

First Name Last Name
{ridersName35other}’s Email (boxes must match)

Confirmation Email confirm email address
{ridersName35other}’s Contact Number
{ridersName35}’s Home Address *

Street Address

Street Address Line 2

City Province

Postal
Riders under 4 are not licensed by the Alberta Bicycle Association. Please read and accept the waiver below to allow your half-tracker to ride the track during closed track sessions.
I give permission for {ridersName35}’s picture to appear on Cochrane BMX social media. (Website, Facebook, Instagram, etc) *

YES NO
Additional information about {ridersName35} that you would like us to be aware of (allergies/medical conditions, etc.):
Additional Riders - Select the number of additional riders living at the same address to easily register more than one family member *

No Additional Riders 1 Additional Rider 2 Additional Riders 3 additional Riders

2022 Cochrane Half Tracker Registration