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Family Membership
Bring the whole family!
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Primary Member Name
*
First
Last
Primary Member Email
*
Primary Member Date of Birth (optional)
Phone Number
*
Emergency Contact
*
Emergency Contact Phone Number
*
Number of years active in mountain biking
Additional Family Member 1
*
First
Last
Email (Additional Family Member 1)
Additional Family Member 2
*
First
Last
Email (Additional Family Member 2)
Additional Family Member 3
First
Last
Email (Additional Family Member 3)
Additional Family Member 4
First
Last
Email (Additional Family Member 4)
Additional Family Member 5
First
Last
Email (Additional Family Member 5)
Activities & Interests (Check all that apply)
Group Rides
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Skills Clinics
Social Events
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Just want to ride!
Social Media Waiver
*
I agree and give my permission
I prefer to stay private
I give the Millbrook MTB permission to post images of riders from throughout the season / events / clinics / group rides.
I agree to the following charge
*
Registration Fee -
$80.00
Waiver
*
When form is complete, I will receive a confirmation email with a link to complete the mandatory waiver
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