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Home
Programs
Instruction
Competition
About
>
CCF & Connie
Coaches
Indoor Facility
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Partners
Schools/Groups
Cycling Equipment
Photos
Blog
Store
Club Membership
Calendar
CCF Race LEEgue
Peloton Enrollment Form
*
Indicates required field
Participant Name
*
First
Last
Participant Date of Birth
*
Parent Email
*
Parent Name
*
First
Last
Ethnicity
*
Asian
African American
Caucasian
Latino
Other
Does your athlete have a medical condition we should know about?
*
Yes
No
Choose Session
*
Monday 5-6p, Peloton Second Quarter Session, April 3 - June 29, $180
Monday 6-7p, Peloton Second Quarter Session, April 3 - June 29, $180
Friday 5-6p, Peloton Second Quarter Session, April 3 - June 29, $180
Friday 6-7p, Peloton Second Quarter Session, April 3 - June 29, $180
Is this your FIRST time enrolling in the Peloton
*
Yes
No
Is your athlete interested in racing?
*
Yes
No
Not Sure
Does your athlete wish to ride more than one 1-hour class each week (and is able to commit to riding additional time)
*
Yes
No
parent sign up for class volunteer
*
Yes
No
Maybe at a later date
Comments
*
Submit