Bermuda Junior Cycling Individual Time Trial Online Registration

Ages	Price
11 - 18	$0.00

Ages	Price
11 - 18	$0.00

Ages	Price
11 - 18	$0.00

Ages	Price
11 - 18	$0.00

Registrant #1

Who are you registering? *

First Name *

Last Name *

Email Address *

Confirm Email *

Create Password *

This will be the password for your BikeSignup account.

Confirm Password *

Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender *

Male Female

Phone *

Valid formats include: 000-000-0000 or 0000000000

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event(s) *

Free Entry

Youth 11-12

Open to ages 11 - 12.

$0.00

(Group Pricing)

Free Entry

Youth 13-14

Open to ages 13 - 14.

$0.00

(Group Pricing)

Free Entry for 18 and Under

Category A

Open to ages 11+.

$20.00 + $3.00 SignUp Fee

($0: Ages 11 - 18)

(Group Pricing)

Free Entry for 18 and Under

Category B

Open to ages 11+.

$20.00 + $3.00 SignUp Fee

($0: Ages 11 - 18)

(Group Pricing)

Free Entry for 18 and Under

Category W

Open to ages 11+.

$20.00 + $3.00 SignUp Fee

($0: Ages 11 - 18)

(Group Pricing)

Category C

Open to ages 11+.

$20.00 + $3.00 SignUp Fee

($0: Ages 11 - 18)

(Group Pricing)

Would you like to join the following club: Bermuda Bicycle Association?

I want to join club “Bermuda Bicycle Association”.

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Bermuda Junior Cycling Individual Time Trial

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Age Based Discounts for Category A

Age Based Discounts for Category B

Age Based Discounts for Category W

Age Based Discounts for Category C

Registrant #1

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Choose Your Event(s) *

Would you like to join the following club: Bermuda Bicycle Association?

Sign In / SignUp

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Age Based Discounts for Category A

Age Based Discounts for Category B

Age Based Discounts for Category W

Age Based Discounts for Category C

Registrant #1

Warning! You are editing the account information for .

Choose Your Event(s) *

Would you like to join the following club: Bermuda Bicycle Association?