1. First*
2. Last*
3. Address 1*
4. Address 2
5. City*
6. State*
7. Postcode*
8. Email*
9. Phone
10. Grade   None College High Middle Primary Pre-School

1. Dad's First Name*
2. Dad's Last Name*
3. Mom's First Name*
4. Mom's Last Name*
5. Parent's Email*
6. Parent's Phone*

1. Road: Select Road Cat... None 5 4 3 2 1 Pro
   
   Cyclocross: Select Cross Cat... None 4 3 2 1 Pro
   
   Off-Road: Select Off-Road Cat...   None Beginner Sport Expert Semi-Pro Pro
   
   Track: Select Track Cat...   None 5 4 3 2 1 Pro
   
   Triathlon Brevet Recreational Riding Only Just a Club Supporter

By checking this box, I recognize that club activities are potentially dangerous and I hereby absolve the Minuteman Road Club, Inc, its members, officers, and sponsors of any responsibility for any and all illnesses, injuries, damages, and/or losses which may result from my participation in any of these activities organized by this club. I agree to always display the appropriate MRC Team uniform when competing in a race event.

By checking this box, I acknowledge that my parents have consented to me joining the Minuteman Road Club. [We'll check ;-)]