Program Sign-Up - Boneshaker

*If you need to sign-up for free or reduced lunch, please register here.

All registrations are final. No refunds, no exceptions.

School*
Participants Name*
First Last
Parent/Guardian Name*
First Last
Participants Age and Grade*
T-Shirt Size*
Waiver*
- I agree to the official Boneshaker participation and photo release waiver.
  English Waiver
  Spanish Waiver
Phone*
Email*
Address*
City*
Zip Code*
Program Cost*
Price: $100.00
Includes t-shirt, race entry and 12 weeks of coaching 2x/week at your school.
Credit Card

American Express
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MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name