Riders Name:
 

Parents Name:
 

Phone Number:
 

Best email Address:
 

Address:
 

Age:
 

Ability (how many years riding):
 

Interest in riding (race,triathlon,recreational):
 

Interest in racing for TCRC Youth Team:
 

Goals for riding:
 

Favorite Style of riding (criterium, time trial, road race, cyclocross):
 

Parents participation (do they ride/race also?):
 

Good night for a ride and time:
 

Bike and Size: