Peloton Enrollment Form

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Participant Name *

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Participant Date of Birth *

Parent Email *

Parent Name *

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Comments *

Choose Session *

Monday 5-6p, Peloton Fourth Quarter Session, October 15-December 17, 2018, $120 Monday 6-7p, Peloton Fourth Quarter Session, October 15-December 17, 2018, $120 Friday 5-6p Peloton Fourth Quarter Session, October 15-December 17, 2018, $120 Friday 6-7pm Peloton Fourth Quarter Session, October 15-December 17, 2018, $120

Is this your FIRST time enrolling in the Peloton *

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Is your athlete interested in racing? *

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Peloton Enrollment Form

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