Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone # *

(###)

###

####

Please note, Spots in an upcoming class can be held with a $150 non-refundable administration fee. Invoices will be emailed to students 1-2 business days after enrolment. Full payment must be received no less than 1 week prior to the start of the class or the seat will be forfeit. Cancellations closer than 1 week prior to the start of the class will forfeit their payment. Payment Instructions will be provided after the form submission is received. Check this box if you agree and understand the terms *

Yes I agree and understand the terms

Adding winterbornebikes@gmail.com to my safe email list will ensure communications are received and will check my junk mail folder if I do not receive an email in 2 business days* *

Yes, I have added winterbornebikes@gmail.com to my safe senders list and will monitor my junk mail folder