BMX School Registration Form

BMX School Registration Form

Register for our Adventure Grounds by providing participant and contact information below.
Participant's Full Name*

First NameLast Name
Participant's Date of Birth*

MonthDayYear
Date
Parent/Guardian Full Name*

First NameLast Name
Parent/Guardian Email Address*
example@example.com
Parent/Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Does the participant have any allergies or medical conditions? If yes, please specify.
USABMX License Number*
Full package-(July 6th-July 31st) Best PriceWeek 1 & 2 (July 6th-July 10th) & (July 13th-July 17th)Week 2 & 3 (July13th-17th) (July 20th-July 24th)Week 3 & 4 (July 20th-July 24th) & (July 27th-July 31st)July 6thJuly 7thJuly 8thJuly 9thJuly 10thJuly 13thJuly 14thJuly 15thJuly 16thJuly 17thJuly 20thJuly 21stJuly 22ndJuly 23rdJuly 24thJuly 27thJuly 28thJuly 29thJuly 30thJuly 31st
Should be Empty: