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2021 LYC Registration Form
Laramie Youth Cycling Program
Event Timing: Thursday's, May 20, 27 & June 3rd, 10th 2021. 5 pm - 7 pm.
Event Address: Kiowa Park, Laramie, WY
Contact us at (307)460-1699 or
cyclingcindy@gmail.com
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* Indicates required question
Parent Name
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Student Name (1)
*
Your answer
Year in school (2020-21)
*
Your answer
Student Name (2)
Your answer
Year in School (2)
Your answer
Student Name (3)
Your answer
Year in School (3)
Your answer
Dietary restrictions
*
None
Vegetarian
Vegan
Kosher
Gluten-free
Other:
Are there any medical concerns that we should be aware of? If no, please type "none".
*
Your answer
Does your student need equipment to be provided in order to participate?
Mountain Bike
Helmet
Other:
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I understand that my online payment through PayPal guarantees my spot
*
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Is there anything else you would like us to know?
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