Violet Crown

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Basic information

Contact information

Phone numberAddressStreet Address, City, State, Zip CodeI agree to volunteer for at least 2 club-related events in the upcoming year.

About you

Birth YearGender identity

Emergency contact information

Emergency contact nameEmergency contact phone numberEmergency contact relationship

Your cycling

Weekly cycling hoursWhat is your annual cycling budgetYour primary preferred way to ride

Your second most preferred way to ride

This is a Junior membership

Parent/guardian full nameParent/guardian phone numberParent/guardian email address

Agreements

I acknowledge and accept the terms of the Violet Crown membership and liability agreement.I agree to this website's privacy policy and terms of serviceI consent to receive emails from Violet Crown.

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