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Class Enrollment Form
Required Required Question(s)


Note: Pre-payment is required to confirm your space in the class. This can be done at Bici Centro 601 E. Montecito St (credit cards, checks, or cash) or by check to SB Bicycle Coalition PO Box 91222, S.B. CA, 93190.
 
Required 1.


Please indicate which course you would like to register for:

(you can choose multiple on this form)
Street Skills Course- Thursday and Saturday Nov. 19th and 21st, $30
Learn Your Bike: 8 weeks Jan 11th-Mar 1st Mondays 7-9pm, $80
Bike Maitanence Module: Hubs and Axles: Friday Nov 6th, 6-8:30pm, $20
Bike Maitanence Module: Spokes and Truing Wheels, Nov 13th, 6-8:30pm, $20
Bike Maitanence Module: Wheel Building, Nov 20th, 6-8:30pm, $20
Street Skills Course- Jan 21st and 23rd, Thurs and Sat. - $30
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Required 2.

Please enter the information indicated below.

First Name:
Last Name:
Company Name:
Home Phone:
Email Address:
emailaddress@xyz.com
City:

3.

How did you hear about the course you selected?
 

  • 50 characters left.
4.

What kind of cyclist are you?
Recreational
Commuter
Atheletic
Other  
5.

What are you interested to learn?
 

  • 50 characters left.
6.


What type of classes would you like to see in the future? any specific suggestions?
 

  • 350 characters left.

Thank you for taking this step to enroll in our upcoming courses. We will contact you with more class information (pre-readings if you will) within one week of the class start date. Please remember to pay your course fee by check or in person at Bici Centro in order to confirm your reservation. If a class is at capacity no new course payments will be accepted and unpaid registrants will not be able to attend.