Name *

First Name

Last Name

Birth Date *

MM

DD

YYYY

Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone # *

(###)

###

####

Payment *

Please send $10 via E-Transfer to prairiebasketballleague@gmail.com to secure your spot

Yes

Download Warehouse Cycle App *

Please click on the Warehouse Cycle Studio logo or scroll to the bottom of this window to access the download link to their app. You will be required to create an account and sign their waiver form.

Yes

Purchase Free Charity Ride *

Please make sure to sign the waiver form on the app and purchase the free charity ride once you have created an account with Warehouse Cycle App

Yes