CPOMG 2019 Registration

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Rider Information

Rider's First Name *

Rider's Last Name *

Rider's Gender Identification *

Female

Male

Rider's Birthday *

YYYY

Rider's Cell Phone *

Or best contact phone number

Rider's Street Address *

Returning Rider *

Yes

Racing Jersey Information

Jersey's will be available at Registration Night to try-on

Jersey Style *

Only select a Jersey Style if you require a racing Jersey

Jersey Size *

Only select a Jersey Size if you require a racing Jersey

Select School and Grade at Start of 2019-20 School Year

School System (Select the High School you would attend based on address) *

Grade *

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