2008 Wheelsport Cycling Team
Membership Application

Wheelsport Cycling Team is a member of the United States Cycling Federation and NORBA.
USCF Club Number 0226.

 
Name Age Sex Date
Address
City, State & Zip
Phone(H) Phone(W) E-mail
Volunteer Interests: (Your assistance is needed in one or more of the following areas)
Joe Matava Memorial Race _____ Club Organization _____ Crystal Mountain TT_____
Ravensdale TT Series_____ South Sound Tour _____ Junior Program _____
Racing Experience:
USCF License #____________________ Road Category_____ Track Category_____
Past Accomplishments:
Riding Goals for 2008:
Preferred Weekend Ride Date:(Sat, Sun or Both) and Starting Time:____________
Starting Point:
South (Black Diamond/Kent) _____		 Eastside (Issaquah) _____
Are you interested in receiving any coaching?
If yes, any specific items?
2008 Annual Dues: $40 
Additional Family Members: $10.00
Make Checks Payable to: Wheelsport Cycling Team
Send Completed Form (Both front and back sides!) to the Membership Chairman:
Jeff Brain
19003 68th St E
Bonney Lake, WA 98391