Half-day rides are $60. Mountain Bike Club is $240 for six rides, or $55 each (Club rides are full).

After completing online registration form, you can pay with PayPal (email us), or mail check with camper's name on memo line to: Fairfax Cycling Camp, P.O. Box 375, Fairfax, CA 94978-0375

Rider's Name

First Name

Last Name

Return Camper?

Has your child participated in summer camp?

Rider's Age

Select April 21 - Beginner/Intermediate

Select April 29- Beginner

May 20 - Family Ride

Family Rides are $120 for two riders, and $45 each additional rider.

Riding Ability/Level

Beginning riders are confident on the road but have little experience on dirt. Intermediate riders are comfortable on any local fire road and some (minimal) single track, and can ride up most hills without stopping. Advanced riders are experienced on Tamarancho, China Camp, or other technical single track. A positive attitude is the most important quality at any level!

Parent's (or rider's) Phone #

(###)

###

####

Parent 2's Phone #

(###)

###

####

Parent's (or rider's) Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone #

(###)

###

####

Known Medical Issues

If none, write "none."

Known Allergies?

Present Medication

Physician's Name

Physician's Phone Number

(###)

###

####

Medical Insurance

Medical Insurance Policy Number

Authorization and Waiver

My digital signature below confirms that: I know of no health-related nor physical reason why my child can not fully participate in Fairfax Cycling Camp, whom I authorize to administer first aid and/or other medical attention to my child as needed. If the undersigned is unreachable in case of an incident requiring emergency medical attention, I authorize Fairfax Cycling Camp to contact the family physician listed above. If the family physician in also unavailable, my electronic signature hereon is my consent that Fairfax Cycling Camp may exercise its best judgment in administering and seeking emergency medical attention as required. The undersigned has legal authority to execute this agreement and expressly releases Fairfax Cycling Camp from any claims, demands, compensation for injury or damages or causes of action arising from my child's participation in its activities. The undersigned also relinquishes and waives any rights that may be conferred by Civ. Code Section 1542.

Camper's Signature

By typing my name, I agree to follow the rules, be kind, and do my best to stay safe.

Cart (0)