Ladies Mountain Bike Clinic Registration 2024

Ladies Mountain Bike Clinic Registration 2024

Please fill out all sections below
Application Form

The camp will run for 4 Mondays in a row – April 29, May 6, 13, and 20 from 6:00 – 8:00pm each evening with a beginner/novice group and an intermediate + group. The clinic cost is $350/person.
Full name of applicant:*

First NameLast Name
Best Phone Number to reach you at:*

Area CodePhone Number
Age of applicant:*
How did you hear about us?*
Place of Residence:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please refer to the matrix here to determine your Rider Level:

What Defines a Beginner/Novice Rider?

You must be comfortable on Green trails currently and some blues and looking to build your skills to help you take your riding to the next level and get more comfortable on technical climbs and descents. If you identify as an advanced beginner or intermediate rider that is comfortable on green trails and some blues this is for you!

What Defines an Intermediate and Intermediate Plus Rider?

Women who are comfortable on blue trails and starting to touch on easy black trails/wanting to explore black terrain. If you are confident with your fundamentals but want to explore more challenging terrain, including jumps and drops(1-4ft in height) this is the crew for you!

Please Note: This program is not designed for riders who have not mountain biked before or are not comfortable on a variety of Green trails and some easy blue trails. This is for the safety of our riders as well as our efforts to have skill groups aligned to provide a great learning environment for all of our participants.
What level of Mountain Biker are you? *This is not a clinic for those with no prior experience in mountain biking, a minimum skill level is required: comfortable on green runs, and starting to explore blues*
Do you own a bike with single or dual suspension and disk brakes? *
If you answered "yes" to the above question, please let us know what bike you will be riding.
Do you ride with clips or flats?*
Why are you interested in improving your skills?*
What are you looking to gain from this clinic?*
Please enter the participants height and weight (if using rental bike):
MTB Waiver

Please read all the information below - you will be send a version of the waiver below that you can fill out upon completing this application.
Photo and Video Release - Applicant Signature

Clear
Elevation Outdoors has permission to use my photograph/video/audio recordings to promote the organization. I understand that the images may be used in various formats not limited to print publications, online publications, presentations, websites, and social media.
Email - Please enter your email address so that we can send you confirmation and information about the program.*
example@example.com
I agree to receive emails/electronic communication from Elevation Outdoors about future program opportunities.*

YesNo
Input Todays Date*

MonthDayYear
Date
Participants Medical Form

Please fill out all the requested information
Participants Name*

First NameLast Name
Participants Date of Birth*

MonthDayYear
Date
Participants BC Care Card Number*
Please provide the correct care card number
Emergency Contact - Provide who we should call in case of emergencies.*

First NameLast Name
Emergency Contacts relationship with the participant.*
Emergency Contact Phone Number - Please provide the number of the person listed above.*

Area CodePhone Number
Medical History
Have you ever suffered from Asthma?*
If Yes, please provide if they have medication and what it is/usage.
Does you suffer from any allergies?*
If yes please list what they are and any medications they take, if it is anaphylactic and if they have an EpiPen.
Does you suffer from any of the following?*
Please select any/all that apply. Hold Cntrl or Command to select multiple entries.
If you selected any of the above options, please provide more information about them below.
Please let us know what the issue is/was, any medications they are on, and best practices for managing it.
When was your last Tetanus shot?*
Answer as accurately as possible. If not within the last 10 years, participant may receive a tetanus injection by a medical officer if they receive a tetanus prone wound.
Are you on any ongoing medications?*
Please provide details of medications, dosage, and frequency taken.
Is there anything about your health/situation that we need to be aware of in regards to participation in this program? Is there anything that may impact others in the program we need to be aware of?*
example - Behavioural or Medical concerns
In the case of accident or illness, I authorize the instructor to administer first aid and/or take me to the nearest emergency centre. I consent to receive medical treatment. I consent that in the event of severe injury or illness the means of transportation may be ambulance at a cost to myself. *
Applicant Signature*

Clear
I declare that the information which I have provided on this form is complete and correct and that I will notify the program if any changes occur. I authorize the facilitator who is with my child to consent, where it is impractical to communicate with me, for my child to receive such medical or surgical treatment as may be deemed necessary.
Date of Submission*

MonthDayYear
Date

My Products*

Ladies 4 Week MTB Clinic - Beginner/Novice$350.00CAD

1 seat in our 4 Week Ladies Clinic running on Mondays from April 29 - May 20

Quantity

Ladies 4 Week MTB Clinic - Intermediate/Intermediate+$350.00CAD

1 seat in our 4 Week Ladies Clinic running on Mondays from April 29 - May 20

Quantity

Total $0.00CAD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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Ladies Mountain Bike Clinic Registration 2024

MTB Waiver

Participants Medical Form

Medical History