Mountain Bike Club Sign-up Form

East County Shred Mountain Bike Sign-up Form
Student Athlete Information
Athletes Name

First NameLast Name
Grade
School
Age
Student Athlete Email
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/ Guardian Contact Information
Parent/Guardian 1

First NameLast Name
Cell Phone Number
Format: (000) 000-0000.
Work Phone Number
Format: (000) 000-0000.
Address same as Student Athletes?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Relationship to Athlete
Parent/Guardian 2

First NameLast Name
Address same as above?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
E-mail
example@example.com
Relationship to Athlete
Student Athlete Health Information
Does Student Athlete have any health issues?
If yes, please explain
Survey
Check One:
If you have conflicts, what are they and when
Experience:
Describe some of your goals for the season. For example, ride for fun and connect with others, to build strength and endurance or to compete and race at a serious level.
Do you need a bike and/or equipment?
We have lots of Volunteer opportunities, would you or anyone in your family be interested in helping our team by Volunteering?
I give permission for my child's picture/video to be taken/used on Social Media
Stack App- We use the Stack App for all team communication. It is mandatory that all Parents RSVP on the Stack App 24 hours in advance of a ride.
Joining East County Shred requires 3 registrations and fees.
Joining East County Shred requires 3 registrations and fees.
East County Shred Dues $300.00. Payable through Venmo or Check
Norcal League Registration $60.00. This will also be paid in The Pitzone (once this Sign Up Form is submitted you will get an email from eastcountyshred@gmail.com with direction on how to access your Pitzone and pay.
NICA Membership $50.00. You will pay this in The Pitzone (once this Sign Up Form is submitted you will get an email from eastcountyshred@gmail.com with direction on how to access your Pitzone and pay.
Should be Empty:

East County Shred Mountain Bike Sign-up Form

Joining East County Shred requires 3 registrations and fees.