Rider Profile
For Office Use
Approved
Not approved
Rec'd Discount Card
Yes
Last Name
First Name
Addr
City, State, Zip
Phone
Email
Sex
Male
Female
Birthday
[dd-MMM-yyyy]
Road Category
Cat 5
Cat 4
Cat 3
Cat 2
Cat 1
Pro
Citizen
Triathlete
MTB Category
Intro
Beg
Sport
Expert
Pro
Junior (18 and under)
Yes
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