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Individual Membership Registration

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Please take a moment to fill out this form with your General Information.

Contact Information

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Upload a recent photo of yourself
Upload proof of age (ID or birth certificate)

CLASS:

Only competitive, recreational, and commuter riders are covered by accident insurance. Select recreational or commuter rider if you are a technical official who also rides.

COMPETITIVE CATEGORY

In order to register as a junior/master or any other age guided category, please calculate your age as of December 31 of the year of registration. (Eg. If you are born in 2002, your age for 2020 is 18, regardless of your exact date of birth.)

DISCIPLINE

Select any or all of the disciplines you participate in.
Upload Cyclist Signature here

Guardian's Information

Guardian's signature required if the applicant is under 18 years of age
Upload Guardian's Signature here