JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
ROTORUA NATIONALS TRAINING
This is your registration for the the Rotorua National Training Sessions.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Which training sessions are you locking in?
*
30th January
14th February
27th February
ALL! I am committing to all 3 training sessions.
Required
Is your rider....
*
Beginner - 10yrs Old Group (8:30-10am)
11yrs + Group (10-11:30am)
Required
Rider First & Last Name
*
Your answer
Rider UCI Age
*
Your answer
Parent / Guardian Name
*
Your answer
Parent / Guardian Phone Number (In case of Emergency)
*
Your answer
GP Clinic & Dr's Name
*
Your answer
GP Contact Number
*
Your answer
Have you signed our waiver in the last 6 months?
*
Yes
No
Please fill out this waiver form | Copy & Paste:
https://forms.gle/KY8ABivzN6Wf16q59
*
Completed
Not Completed
If you are not an affiliate member of Rotorua BMX Club, you will need to copy and paste this link and register to attend this training:
https://www.sporty.co.nz/asset/downloadasset?id=cda5ac64-93d8-44cf-a7aa-daabd3d17a1a
*
Done
We will be in touch by the 25th Jan to remind you of your training time and group.
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of MATT CAMERON RACE ACADEMY.
Report Abuse
Forms
