Your Name*

Your Email*

Your Age

Your Town

How many times a week do you ride in an average season?
12-34-55+

How many group rides did you participate in last year?
01-45-910-1520+

How many group rides did you lead last year?
01-45-910-1520+

What types of rides are you able to lead? (Select all that apply)
Road - Short (1 - 2 hours)Road - Long (3 - 4 hours)Mountain

What pace(s) do you plan to lead?*

How many times a month would you be able to lead a ride?
5+3-41-2

Do you have other comments or questions?

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