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Riders first name

Riders Last name

Gender

Male

Female

Birthday

Month

Day

Year

Phone Number

Address

City State Zip

Rider Shirt Size

Emergency Contact

Emergency Contact Phone Number

Guardian Name

Date

Month

Day

Year

Does your rider have an active PEDAL BIKE USA BMX Membership? (balance bike or Stacyc membership does no apply)

Yes

By checking this box I authorize San Diego BMX to charge my credit/debit card on file for recurring papments in the amount of $105 on a monthly basis beginning when I join the program.

This authorization will remain in effect until I cancel in writing.
Payments will be autimatically charged on billing date of enrollment.
I may cancel this authorization at any time by providing witten notice at least 1 day prior to next billing date.
No refunds will be issued for charges already processed.

Have a friend you want to race with? Add their contact below and we will reach out!

BMX Beginner League

BMX Beginner League$105

1 Time Membership Fee

1 time membership fee to include Yearly USA BMX Membership, number plate, jersey$75