Registration

Rider's Name*

First NameLast Name

Parent/Guardian Name:*

First NameLast Name

Parent/Guardian Phone:*

Area CodePhone Number

Email Address*

Confirmation EmailEmails must match

Club Affiliation:*

UCI License No.:*

Age as at December 31 2024:*

Race Class:*

NoviceIntermediateExpert

If you have any questions please email our Rider Development Director Lindsay at cochranebmxcoaching@gmail.com

TORY NYHAUG BMX CAMP - August 13 & 14, 2024