Peloton Enrollment Form - CCF Classes

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Programs
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Calendar
Family & Friends

Peloton Enrollment Form

* Indicates required field

Participant Name *

First

Last

Participant Date of Birth *

Parent Email *

Parent Name *

First

Last

Comments *

Choose Session *

Monday 5-6p, Peloton Third Quarter Session, June 25 - Sept 28, 2018, $129 Monday 6-7p, Peloton Third Quarter Session, June 25 - Sept 28, 2018, $129 Friday 5-6p Peloton Third Quarter Session, June 29 - Sept 28, 2018, $129 Summer Only - Wednesday 4-5p, these dates, June 27, July 11,18,*25, August 1, $62, [*class on 25th at 10-11am] All-Ride Day, Monday June 18, 5-7p, $10 All-Ride Day, Friday June 29, 5-7p, $10

Is this your FIRST time enrolling in the Peloton *

Yes No

Is your athlete interested in racing? *

Yes No Not Sure

Submit

Changing lives through cycling.

Address:

P.O. Box 681
Corona Del Mar, CA
92625

Telephone

800-431-5281

Email

info@conniecycling.com

Connie Cycling Foundation is a 501(c)3 nonprofit organization, Tax ID#45-4372870