| Your Name: |
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| Age: |
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| Birthday: |
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| Please indicate which days you'd like to attend camp: (April 16th, 17th, and/or 18th). |
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| Parent's Names: |
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| Athlete's email: |
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| Parent's email (if different): |
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| Phone number: |
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| Street Address: |
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| City: |
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| City: |
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| Zip Code: |
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| Emergency Contact phone at Sea Otter: |
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| Trek Jersey Size (this is in adult-sizing, so please size accordingly): |
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| Do you have any allergies or medical conditions of which we should be aware? Please list. |
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| What's your favorite part about riding a bike? |
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| What bike riding skills do you want to improve? |
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| What do you want to learn about while participating in the Little Bellas camp (example: descending, climbing, cornering, training, nutrition, bike maintenance, technique, mental toughness, other) |
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| The most important question: ARE YOU READY TO HAVE FUN? |
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Enjoy the day! |