Participant Information  

Name:
Surname:
Male:   Female:     Age:     Finishing Grade: 
This Tutor Bike Tours tour is for ages 12 and up.
Home Address:  
City:       Province:  
Postal Code:
Participant's E-Mail:
Home Phone:   

Care Card numbers: 
Passport numbers:

Cycling Experience (if any):

Special Interest:

 

Family Information

Mother's Name:
Home Phone:   Business Phone:
Cell Phone:    E-Mail:

Father's   Name:
Home Phone:    Business Phone:
Cell Phone:    E-Mail:

Legal Guardian's Name:
Home Phone:    Business Phone:
Cell Phone:    E-Mail:

Participant lives with:

Method of payment:
Pay Pal     Money Order      Cheque