Guardian Name *

First Name

Last Name

Guardian Phone

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Student Name *

First Name

Last Name

Student phone

(###)

###

####

Student Birth Date *

MM

DD

YYYY

Student Division for 2024 *

Jr. Devo (7-8th grade)

High School (9-12th grade)

Is Your Rider a: *

New VHS Rider

Returning VHS Rider

Student Athlete Riding Experience *

New Rider (0 years)

Beginner (1-2 years)

Intermediate (3-4 years)

Advanced (5 + years)

If a student athlete is unable or unwilling to follow the NICA core values and team guidelines (including being respectful, courtious, and team-players), we have the right to remove them from the team. By clicking below, you understand that drug use, improper language, harassment and poor sportsmanship will not be tolerated on the VHS MTB team.

I understand

Team Fee *

I understand that the $150 team fee is required to be payed to @VHSMTB through Venmo by April 1st, in order for my student athlete to participate on the team (the students name must be placed in the memo box).

YES