Jackson Sprockids Registration

1 Day/Week for 8 Weeks from 5:30pm – 7:00pm

9-11 year-olds on Wednesdays

Wednesday – July 8th: TBD

Wednesday – July 15th: Wilson Canyon (Subject to Change)

Wednesday – July 22nd: Snow King

Wednesday – July 29th: Cache Creek (Subject to Change)

Wednesday – August 5th: Game Creek (Subject to Change)

Wednesday – August 12th: Wilson Canyon (Subject to Change)

Wednesday – August 19th: Teton Village

Wednesday – August 26th: Teton Village

Contact Information
Child's Name*
First Last
Child's Age*
Child's age as of July 1, 2020
Please enter a number from 9 to 11.
Parent's Name*
First Last
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Physical Address
- Different then Mailing Address
Physical Address
Street Address Address Line 2 City State ZIP Code
Phone*
Best number for contact.
Email*
Emergency Contact
Name*
First Last
Relationship*
Emergency Contact Phone*
Child Information
Riding Experience*
Please describe your child's riding experience. Do they know how to use hand brakes? Do they ride singletrack trails? What is their favorite place to ride? How long have they been riding?
Medical Notes
Existing conditions that may impact the child's ability to participate (physical, behavioral, etc.). This will be kept strictly confidential.
Allergies & Dietary Restrictions
Unavailable Dates
Dates where child will likely be absent.
Alternative Child Pickup
My child is allowed to leave sessions with:
Name
First Last
Relationship
Contact's Phone
Payment Information
Single registration*
Price: $160.00
Credit Card*

Card Details

Cardholder Name
I would like to contribute:
Total
$0.00

Contact Information