Contact information

First name

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Last name

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Phone

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Phone type
Email address

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Address

Address

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Apartment, suite, etc. (optional)
City

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Country/region

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State

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ZIP code

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Additional details

To help the Skowhegan Outdoors staff provide you with the safest mountain biking experience possible, please complete the following questionnaire.  Please keep in mind that each participant should already be comfortable riding a bike.  The program will focus on introducing and improving trail riding skills.

Contact phone number for person completing the questionnaire (XXX-XXX-XXXX).

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Participant Date of Birth (MM-DD-YYYY)

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Emergency Contact Info #1 (please include first, last name and contact phone number)

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Emergency Contact Info #2 (please include first, last name and contact phone number)

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Please list all known allergies (food allergies, asthma, bee stings etc). If none, please respond none.

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Has the particpant previously participated in a mountain biking clinics or know how to ride? If yes, please specify.

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What type of trail does the participant most frequently ride?

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How comfortable is the camper with technical terrain (elevation gain, rocky and rooty trails)?

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Is there anything else we should know?

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Registration fee

A registration fee is required to participate

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Payment

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Card number
Cardholder name

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Email address

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Account holder name

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Email address

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Billing address

Address

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Apartment, suite, etc. (optional)
City

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Country/region

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State

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ZIP code

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Confirmation

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