BMX Ministries Team Sign Up
Name
*
Email
*
Phone Number
*
Address
*
City
,
State
and
ZIP Code
*
State
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
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NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AA
AE
AP
Would you like more information on being a lead team volunteer in your area? (18+)
(Choose One)
Yes please
No thank you
Parent Name If Under 18
Parent Phone If Under 18
Parent Email If Under 18
Your Date of Birth
*
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
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Year
2021
2020
2019
2018
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1929
1928
1927
1926
1925
1924
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1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
What is your class?
*
(Choose One)
Novice
Intermediate
Expert
A Pro
Cruiser
Girl Class
Expert Girl
Do you ride Cruiser as well as Class?
*
(Choose One)
Yes
No
What's your 2020 plate number for class?
What's your 2020 plate number for cruiser?
What is your jersey size?
*
(Choose One)
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X Large
Adult XX Large
Adult XXX Large
T-Shirt Size
(Choose One)
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
Adult XXX-Large
Please describe your racing/athletic history:
*
What are your goals for 2021?
*
Name of church you currently attend:
*
Are you a member of the church?
*
(Choose One)
Yes
No
Have you come to the place in your own spiritual life where you know for certain that if you died today you would go to Heaven?
*
(Choose One)
Yes
No
What does being a Christian mean to you?
*
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